NPI | 1619088226 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: TX S17471) |
Additional Taxonomies | 251B00000X Case Management (Licence: TX S17471) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2025-09-11 |