| 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 |