NPI | 1205565447 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH C.2204478-TRNE) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2022-06-05 |
Last Update Date | 2023-01-26 |