| NPI | 1043566227 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 786477) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CA 786477) |
| 163WG0000X Registered Nurse, General Practice (Licence: CA 786477) | |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: CA 786477) | |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: CA 786477) | |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 786477) | |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2012-07-26 |