| NPI | 1598069973 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 171W00000X Contractor |
| 172A00000X Driver | |
| 173C00000X Reflexologist | |
| 175F00000X Naturopath | |
| 175L00000X Homeopath | |
| Enumeration Date | 2010-12-29 |
| Last Update Date | 2010-12-29 |