| NPI | 1275356867 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R244263) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: MD R244263) |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2024-11-04 |