NPI | 1932924339 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-HQZYP) |
Additional Taxonomies | 175T00000X Peer Specialist (Licence: CA MPSS-HQBZYP) |
Enumeration Date | 2024-11-20 |
Last Update Date | 2024-11-20 |