| NPI | 1205597887 |
|---|---|
| Other Name | VICTOR ETUKUDOH |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AZ 267251) |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology Addiction Psychiatry (Licence: AZ 267251) |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2022-07-29 |