| NPI | 1942346531 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: MA 149852) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: MA 149852) |
| 364SP0811X Clinical Nurse Specialist, Psych/Mental Health, Chronically Ill (Licence: MA 14982) | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MA 149852) | |
| 364SP0812X Clinical Nurse Specialist, Psych/Mental Health, Community (Licence: MA 149852) | |
| 364SP0813X Clinical Nurse Specialist, Psych/Mental Health, Geropsychiatric (Licence: MA 149852) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2019-03-14 |