| 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 |