NPI | 1083321319 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 202215053RN) |
Enumeration Date | 2022-11-07 |
Last Update Date | 2022-11-12 |