NPI | 1063742682 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 372600000X Adult Companion (Licence: TX 614002) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 614002) |
Enumeration Date | 2010-01-04 |
Last Update Date | 2010-01-04 |