| NPI | 1285047829 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: DC RN1014235) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: DC RN1014235) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: DC RN1014235) | |
| 163WC0400X Registered Nurse, Case Management (Licence: DC RN1014235) | |
| 163WC1400X Registered Nurse, College Health (Licence: DC RN1014235) | |
| 163WC1500X Registered Nurse, Community Health (Licence: DC RN1014235) | |
| 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: DC RN1014235) | |
| 163WD0400X Registered Nurse, Diabetes Educator (Licence: DC RN1014235) | |
| 163WG0000X Registered Nurse, General Practice (Licence: DC RN1014235) | |
| 163WH0200X Registered Nurse, Home Health (Licence: DC RN1014235) | |
| 163WI0600X Registered Nurse, Infection Control (Licence: DC RN1014235) | |
| 163WN1003X Registered Nurse, Nutrition Support (Licence: DC RN1014235) | |
| 163WP0000X Registered Nurse, Pain Management (Licence: DC RN1014235) | |
| 164X00000X Licensed Vocational Nurse (Licence: DC RN1014235) | |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2014-06-10 |