NPI | 1174371678 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: OH 171M00000X) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2024-05-09 |
Last Update Date | 2024-05-31 |