NPI | 1346423431 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: CA E0019818) |
Additional Taxonomies | 251B00000X Case Management (Licence: CA E0019818) |
Enumeration Date | 2007-12-11 |
Last Update Date | 2007-12-11 |