NPI | 1497503338 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
172V00000X Community Health Worker | |
Enumeration Date | 2024-05-07 |
Last Update Date | 2024-07-16 |