NPI | 1114364486 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: TX 500143) |
Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: TX 500143) |
Enumeration Date | 2013-05-28 |
Last Update Date | 2013-05-28 |