| NPI | 1013072834 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 104100000X Social Worker (Licence: IN 33005649A) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2014-02-10 |