NPI | 1053014290 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 163WN0300X Registered Nurse, Nephrology (Licence: MA RN2349093) |
Additional Taxonomies | 163WD1100X Registered Nurse, Dialysis, Peritoneal (Licence: MA RN2349093) |
Enumeration Date | 2023-03-27 |
Last Update Date | 2023-03-27 |