| 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 |