| NPI | 1225282528 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 372764) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: NY 372764) |
| 171M00000X Case Manager/Care Coordinator | |
| 171M00000X Case Manager/Care Coordinator (Licence: NY 372764) | |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2015-05-05 |