| NPI | 1780477562 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA0400X Registered Nurse Addiction (Substance Use Disorder) (Licence: CA 842728) |
| Additional Taxonomies | 163WM1400X Registered Nurse Nurse Massage Therapist (NMT) (Licence: CA 842728) |
| 163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent (Licence: CA 842728) | |
| 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: CA 842728) | |
| 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: CA 842728) | |
| 163WR0400X Registered Nurse Rehabilitation (Licence: CA 842728) | |
| 163WH0500X Registered Nurse Hemodialysis (Licence: CA 842728) | |
| 163WH1000X Registered Nurse Hospice (Licence: CA 842728) | |
| 163WI0500X Registered Nurse Infusion Therapy (Licence: CA 842728) | |
| 163WD1100X Registered Nurse Dialysis, Peritoneal (Licence: CA 842728) | |
| 163WH0200X Registered Nurse Home Health (Licence: CA 842728) | |
| 163WS0200X Registered Nurse School (Licence: CA 842728) | |
| 163WX0106X Registered Nurse Occupational Health (Licence: CA 842728) | |
| 163WD0400X Registered Nurse Diabetes Educator (Licence: CA 842728) | |
| Enumeration Date | 2025-05-26 |
| Last Update Date | 2025-05-26 |