| NPI | 1528307824 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: GA RN154467) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: GA RN154467) |
| 163WI0600X Registered Nurse, Infection Control (Licence: GA RN154467) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: GA RN154467) | |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2013-02-06 |