NPI | 1689832891 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 585404-01) |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NY 585404-1) |
Enumeration Date | 2008-05-26 |
Last Update Date | 2009-09-08 |