| NPI | 1477070688 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WI0600X Registered Nurse, Infection Control (Licence: OR 201704458) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 201704458RN) |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2026-07-22 |