| NPI | 1013352038 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: CA PHN 69298) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA PHN 69298) |
| 163WC0400X Registered Nurse Case Management (Licence: CA PHN 69298) | |
| 163WC1500X Registered Nurse Community Health (Licence: CA PHN 69298) | |
| 163WC1600X Registered Nurse Continuing Education/Staff Development (Licence: CA PHN 69298) | |
| 163WH0200X Registered Nurse Home Health (Licence: CA PHN 69298) | |
| 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: CA PHN 69298) | |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2013-05-03 |