| NPI | 1760956775 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 095179-01) |
| Additional Taxonomies | 174V00000X Clinical Ethicist |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2025-03-10 |