| NPI | 1316812084 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 174400000X Specialist |
| 174H00000X Health Educator | |
| 174V00000X Clinical Ethicist | |
| 247000000X Technician, Health Information | |
| Enumeration Date | 2025-10-10 |
| Last Update Date | 2025-10-13 |