NPI | 1366187890 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 374U00000X Home Health Aide (Licence: DC HHA200003342) |
376K00000X Nurse's Aide | |
Enumeration Date | 2022-04-29 |
Last Update Date | 2024-10-07 |