| NPI | 1881958353 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0400X Registered Nurse Case Management (Licence: DC RN1013669) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 171M00000X Case Manager/Care Coordinator | |
| 374U00000X Home Health Aide | |
| 163W00000X Registered Nurse (Licence: DC RN1013669) | |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2023-11-14 |