NPI | 1508616210 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: UT F24-115176) |
Additional Taxonomies | 172V00000X Community Health Worker |
Enumeration Date | 2024-03-25 |
Last Update Date | 2024-09-18 |