NPI | 1295235984 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ RN205182) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95118046) |
163W00000X Registered Nurse (Licence: NM RN-85497) | |
163W00000X Registered Nurse (Licence: TX 884244) | |
163W00000X Registered Nurse (Licence: MA RN2320628) | |
Enumeration Date | 2018-02-19 |
Last Update Date | 2018-02-19 |