| NPI | 1881871523 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 684183) |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2008-01-24 |