NPI | 1215746466 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 374U00000X Home Health Aide (Licence: NY 01003186) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
261QP0905X Clinic/Center, Public Health, State or Local | |
Enumeration Date | 2025-01-02 |
Last Update Date | 2025-01-02 |