NPI | 1629773494 |
---|---|
Former Name | VOMA PRYDE GANGDIA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 172V00000X Community Health Worker |
Enumeration Date | 2023-04-03 |
Last Update Date | 2023-06-20 |