| NPI | 1285412668 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: CA 813605) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: CA 813605) |
| 163WP2201X Registered Nurse, Ambulatory Care (Licence: CA 813605) | |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2023-09-18 |