| NPI | 1629351770 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TN RN173427) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN173427) |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2012-10-23 |