| NPI | 1245939495 |
|---|---|
| Professional Name | RAPHAEL OMOTO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MN 9968) |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2023-07-07 |