NPI | 1750169538 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 163WE0003X Registered Nurse Emergency (Licence: ME 68085) |
Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: ME 68085) |
Enumeration Date | 2023-09-21 |
Last Update Date | 2023-09-21 |