NPI | 1275285736 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 610068) |
Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: CA 610068) |
163WC0200X Registered Nurse, Critical Care Medicine (Licence: CA 610068) | |
163WC0400X Registered Nurse, Case Management (Licence: CA 610068) | |
163WH0200X Registered Nurse, Home Health (Licence: CA 610068) | |
163WH1000X Registered Nurse, Hospice (Licence: CA 610068) | |
163WI0500X Registered Nurse, Infusion Therapy (Licence: CA 610068) | |
Enumeration Date | 2022-01-25 |
Last Update Date | 2022-01-25 |