NPI | 1578348603 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 172V00000X Community Health Worker |
261QC1500X Clinic/Center Community Health | |
Enumeration Date | 2023-08-28 |
Last Update Date | 2023-08-28 |