| NPI | 1053750844 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WX0106X Registered Nurse, Occupational Health (Licence: HI RN35705) |
| Additional Taxonomies | 163WX0106X Registered Nurse, Occupational Health (Licence: CA 520972) |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2013-06-14 |