NPI | 1174098032 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WS0200X Registered Nurse, School (Licence: NM RN-76641) |
Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: NM RN-76641) |
Enumeration Date | 2018-10-08 |
Last Update Date | 2018-10-08 |