| NPI | 1386248722 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH APRN.CNP.0042017) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH PMH04260026) |
| Enumeration Date | 2020-11-25 |
| Last Update Date | 2026-05-11 |