NPI | 1427821925 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 247200000X Technician, Other |
Additional Taxonomies | 174400000X Specialist |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2023-11-06 |
Last Update Date | 2025-05-14 |