| NPI | 1023321890 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: TX 230082) |
| Additional Taxonomies | 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: TX 230082) |
| 163WD0400X Registered Nurse, Diabetes Educator (Licence: VA 230082) | |
| 163WG0000X Registered Nurse, General Practice (Licence: TX 230082) | |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: TX 230082) | |
| 163WN1003X Registered Nurse, Nutrition Support (Licence: TX 230082) | |
| 163WP2201X Registered Nurse, Ambulatory Care (Licence: TX 230082) | |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2010-07-21 |