NPI | 1770074767 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2018-05-24 |
Last Update Date | 2024-05-10 |