| NPI | 1083916225 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: PA CNS000164) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: PA RN228603L) |
| Enumeration Date | 2010-11-20 |
| Last Update Date | 2021-05-29 |