NPI | 1093330235 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: NV 821465) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 202001987RN) |
Enumeration Date | 2020-06-13 |
Last Update Date | 2020-06-13 |