| NPI | 1023229606 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 225400000X Rehabilitation Practitioner | |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2025-05-08 |