| NPI | 1205610318 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 2278P3800X Respiratory Therapist, Certified, Palliative/Hospice |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2023-08-21 |