NPI | 1093776999 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: WI 150051-030) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: WI 150051-030) |
163WS0200X Registered Nurse, School (Licence: WI 150051-030) | |
Enumeration Date | 2006-03-30 |
Last Update Date | 2007-07-09 |