NPI | 1598858292 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: MI 4704170054) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MI 4704170054) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2016-12-15 |