| NPI | 1033930672 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WX0200X Registered Nurse, Oncology (Licence: LA RN145925) |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: LA RN145925) |
| 163WH0500X Registered Nurse, Hemodialysis (Licence: LA RN145925) | |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: LA RN145925) | |
| Enumeration Date | 2024-10-17 |
| Last Update Date | 2024-10-17 |