NPI | 1568603611 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 374U00000X Home Health Aide |
376K00000X Nurse's Aide | |
Enumeration Date | 2009-03-19 |
Last Update Date | 2009-03-19 |