| NPI | 1508238734 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: FL 130309) |
| Additional Taxonomies | 174V00000X Clinical Ethicist |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2015-12-10 |