NPI | 1821732819 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 172V00000X Community Health Worker |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: CA E1717771) |
Enumeration Date | 2022-04-25 |
Last Update Date | 2023-06-27 |