NPI | 1417220419 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: NH 027381-21) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NH 027381-21) |
Enumeration Date | 2012-02-22 |
Last Update Date | 2012-02-22 |