NPI | 1720409287 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 374U00000X Home Health Aide (Licence: DC HHA9866) |
Enumeration Date | 2013-12-30 |
Last Update Date | 2023-06-23 |