NPI | 1063166874 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: IN 28209950A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28209950C) |
Enumeration Date | 2022-02-10 |
Last Update Date | 2022-02-10 |