NPI | 1407964638 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: CA 0240982) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN95044800) |
163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA PMH586) | |
364S00000X Clinical Nurse Specialist (Licence: CA CNS4252) | |
Enumeration Date | 2006-08-28 |
Last Update Date | 2019-06-12 |