NPI | 1710387725 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: OH RN384575) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH RN384575) |
Enumeration Date | 2014-08-27 |
Last Update Date | 2014-08-27 |