| NPI | 1871946186 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: NE H12928193) |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2021-08-05 |