NPI | 1003926015 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: OH RN 186354) |
Additional Taxonomies | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: OH NS-04758) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2007-07-08 |