| NPI | 1275826794 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 104100000X Social Worker (Licence: IN 33006247A) |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2012-08-15 |