| NPI | 1548636269 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R159377) |
| 163WA2000X Registered Nurse, Administrator (Licence: MD R155931) | |
| 164W00000X Licensed Practical Nurse (Licence: MD LP34564) | |
| 174400000X Specialist | |
| 246Y00000X Spec/Tech, Health Info | |
| 247200000X Technician, Other | |
| 372500000X Chore Provider | |
| 372600000X Adult Companion | |
| 3747A0650X Technician, Attendant Care Provider | |
| 374U00000X Home Health Aide | |
| 376G00000X Nursing Home Administrator | |
| 376J00000X Homemaker | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2015-08-17 |