| NPI | 1518402890 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: NY 647833) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 647833) |
| 163WA2000X Registered Nurse, Administrator (Licence: NY 647833) | |
| 163WC0400X Registered Nurse, Case Management (Licence: NY 647833) | |
| 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: NY 647833) | |
| 163WC2100X Registered Nurse, Continence Care (Licence: NY 647833) | |
| 163WD0400X Registered Nurse, Diabetes Educator (Licence: NY 647833) | |
| 163WE0003X Registered Nurse, Emergency (Licence: NY 647833) | |
| 163WG0000X Registered Nurse, General Practice (Licence: NY 647833) | |
| 163WI0600X Registered Nurse, Infection Control (Licence: NY 647833) | |
| 163WP0000X Registered Nurse, Pain Management (Licence: NY 647833) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 647833) | |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: NY 647833) | |
| 163WP2201X Registered Nurse, Ambulatory Care (Licence: NY 647833) | |
| 163WW0000X Registered Nurse, Wound Care (Licence: NY 647833) | |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2016-12-22 |