NPI | 1346317799 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MA 267650) |
Additional Taxonomies | 364SP0809X Clinical Nurse Specialist Psychiatric/Mental Health, Adult (Licence: MA 267650) |
363LA2200X Nurse Practitioner Adult Health (Licence: MA 267650) | |
Enumeration Date | 2006-11-29 |
Last Update Date | 2012-11-13 |