| NPI | 1164789392 |
|---|---|
| Former Name | BRIAN MEARS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AR 232177) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR C003103) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2025-05-15 |