| NPI | 1033507108 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WX0200X Registered Nurse Oncology (Licence: OH RN368017) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN368017) |
| 163WC0200X Registered Nurse Critical Care Medicine (Licence: OH RN368017) | |
| 163WE0003X Registered Nurse Emergency (Licence: OH RN368017) | |
| 163WH1000X Registered Nurse Hospice (Licence: OH RN368017) | |
| 163WM0705X Registered Nurse Medical-Surgical (Licence: OH RN368017) | |
| 163WW0000X Registered Nurse Wound Care (Licence: OH RN368017) | |
| Enumeration Date | 2014-12-24 |
| Last Update Date | 2014-12-24 |