| NPI | 1073284808 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: MD A00197241) |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2024-08-08 |