NPI | 1396514220 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 104100000X Social Worker |
172V00000X Community Health Worker | |
Enumeration Date | 2023-12-20 |
Last Update Date | 2025-08-06 |