| NPI | 1306258314 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95020829) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 684845-1) |
| Enumeration Date | 2014-05-24 |
| Last Update Date | 2024-07-03 |