NPI | 1346933512 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4351051020) |
Enumeration Date | 2023-06-01 |
Last Update Date | 2024-02-19 |