| NPI | 1598429433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 207ZF0201X Pathology Forensic Pathology (Licence: ND 17603) |
| Enumeration Date | 2021-10-27 |
| Last Update Date | 2025-07-10 |