NPI | 1215799564 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: QMHS) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: CMS) |
Enumeration Date | 2024-01-23 |
Last Update Date | 2024-01-23 |