NPI | 1154985653 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: PR 777063) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PR 077063) |
163WH1000X Registered Nurse, Hospice (Licence: PR 077063) | |
Enumeration Date | 2019-04-30 |
Last Update Date | 2019-04-30 |