| NPI | 1144013046 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: NJ 26NR2506440000) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: NJ 26NR25064000) |
| Enumeration Date | 2025-05-23 |
| Last Update Date | 2025-05-28 |