| NPI | 1073751327 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: NC NC0033613) |
| 251B00000X Case Management | |
| Enumeration Date | 2009-01-25 |
| Last Update Date | 2010-03-16 |