NPI | 1255625448 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: OH RN.370128-) |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: TX 678765) |
Enumeration Date | 2011-06-05 |
Last Update Date | 2011-06-05 |