NPI | 1639430077 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 172V00000X Community Health Worker |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
374U00000X Home Health Aide | |
Enumeration Date | 2012-06-01 |
Last Update Date | 2024-07-09 |