NPI | 1093402117 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 175T00000X Peer Specialist |
172A00000X Driver | |
Enumeration Date | 2023-04-19 |
Last Update Date | 2023-04-19 |