| NPI | 1740008523 |
|---|---|
| Former Name | BRIAN AMASON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: MA LN100616) |
| Enumeration Date | 2024-09-30 |
| Last Update Date | 2024-09-30 |