NPI | 1275885584 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: TN 18171) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 167088) |
Enumeration Date | 2012-10-10 |
Last Update Date | 2014-01-28 |