| NPI | 1801786710 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: NY 0) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: 0) |
| Enumeration Date | 2025-07-03 |
| Last Update Date | 2025-07-03 |