NPI | 1184849242 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 1003) |
Additional Taxonomies | 251B00000X Case Management |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2007-04-16 |
Last Update Date | 2008-04-04 |