| NPI | 1558250589 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 532659) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: CA 532659) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 532659) | |
| Enumeration Date | 2025-07-02 |
| Last Update Date | 2025-07-02 |