| NPI | 1619367786 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO 092370245) |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2022-04-27 |