| NPI | 1154685469 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: NY 568854) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 568854) |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: NY 568854) | |
| 163WC0400X Registered Nurse, Case Management (Licence: NY 568854) | |
| 163WC2100X Registered Nurse, Continence Care (Licence: NY 568854) | |
| 163WD0400X Registered Nurse, Diabetes Educator (Licence: NY 568854) | |
| 163WH0200X Registered Nurse, Home Health (Licence: NY 568854) | |
| 163WH1000X Registered Nurse, Hospice (Licence: NY 568854) | |
| 163WI0600X Registered Nurse, Infection Control (Licence: NY 568854) | |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: NY 568854) | |
| 163WN1003X Registered Nurse, Nutrition Support (Licence: NY 568854) | |
| 163WP0000X Registered Nurse, Pain Management (Licence: NY 568854) | |
| 163WW0000X Registered Nurse, Wound Care (Licence: NY 568854) | |
| 163WX1500X Registered Nurse, Ostomy Care (Licence: NY 568854) | |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2012-07-02 |