| NPI | 1467932780 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NH 078838-21) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2018-09-28 |