| NPI | 1184369159 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SX0200X Clinical Nurse Specialist, Oncology (Licence: NY 486243) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: NY 486243) |
| Enumeration Date | 2022-05-03 |
| Last Update Date | 2022-05-03 |