NPI | 1093249070 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: DE L1-0030377) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN541592) |
163W00000X Registered Nurse (Licence: NJ 26NR17203600) | |
Enumeration Date | 2017-04-17 |
Last Update Date | 2017-04-17 |