NPI | 1508378159 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 374U00000X Home Health Aide (Licence: HHA13152) |
Enumeration Date | 2017-11-03 |
Last Update Date | 2023-07-25 |