| NPI | 1043913916 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WS0200X Registered Nurse, School (Licence: NY 497047-01) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: NY 497047-01) |
| 163WH0200X Registered Nurse, Home Health (Licence: NY 497047-01) | |
| 163WH1000X Registered Nurse, Hospice (Licence: NY 497047-01) | |
| Enumeration Date | 2023-03-22 |
| Last Update Date | 2023-03-22 |