NPI | 1023629623 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 163WS0200X Registered Nurse, School (Licence: MD R204321) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD r204321) |
Enumeration Date | 2020-08-17 |
Last Update Date | 2020-08-17 |