NPI | 1598944209 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: ME CNP81877) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN35503) |
Enumeration Date | 2007-10-30 |
Last Update Date | 2017-03-21 |