| NPI | 1477811628 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL HSE20761) |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2014-08-26 |