NPI | 1245739283 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: CA 4606) |
Additional Taxonomies | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: CA 4606) |
Enumeration Date | 2018-02-05 |
Last Update Date | 2018-02-05 |