NPI | 1093851743 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 514120) |
Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: CA 514120) |
Enumeration Date | 2007-01-29 |
Last Update Date | 2007-07-08 |