| NPI | 1831434737 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: CA 559408) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 559408) |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2012-12-03 |