| NPI | 1245274307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: OK 93809) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 93809) |
| 163W00000X Registered Nurse (Licence: OH RN248070) | |
| 364S00000X Clinical Nurse Specialist (Licence: OH NS06059) | |
| 364SX0200X Clinical Nurse Specialist, Oncology (Licence: OK 93809) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2019-11-15 |