NPI | 1124284369 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN RN0000090154) |
Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: TN RN0000090154) |
Enumeration Date | 2008-08-06 |
Last Update Date | 2008-08-06 |