NPI | 1699565168 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 172V00000X Community Health Worker (Licence: NV CHW1-6144) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
3747P1801X Technician, Personal Care Attendant | |
Enumeration Date | 2025-05-08 |
Last Update Date | 2025-06-20 |