NPI | 1275996928 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: IN 28157795A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041337622) |
Enumeration Date | 2016-03-31 |
Last Update Date | 2016-03-31 |