| NPI | 1427634229 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NH 067552-23) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: NH 067552-21) |
| 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: NH 067552-21) | |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2022-07-14 |