| NPI | 1932751609 |
|---|---|
| Former Name | JAMES DAVID THYSSEN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 372600000X Adult Companion |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2025-08-11 |