| NPI | 1083590129 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: NV 891257) |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: NV 891257) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: NV 891257) | |
| 163WX1500X Registered Nurse, Ostomy Care (Licence: NV 891257) | |
| Enumeration Date | 2025-08-13 |
| Last Update Date | 2025-08-13 |