| NPI | 1821378399 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 538351) |
| Additional Taxonomies | 163WN0800X Registered Nurse, Neuroscience (Licence: CA 538351) |
| Enumeration Date | 2011-08-27 |
| Last Update Date | 2011-08-27 |