NPI | 1295510899 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: CA E175535) |
Enumeration Date | 2023-08-30 |
Last Update Date | 2024-11-24 |