| NPI | 1033937438 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 819963) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: TX 819963) |
| Enumeration Date | 2024-10-03 |
| Last Update Date | 2024-10-03 |