NPI | 1649922709 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CO APN.0998438-NP) |
Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: CO 1667435) |
Enumeration Date | 2022-01-20 |
Last Update Date | 2023-12-12 |