| NPI | 1508407792 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95198537) |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: CA 95198537) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 95198537) | |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2019-09-30 |