| NPI | 1922454651 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1012663) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1012663) |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2025-12-04 |