NPI | 1295936821 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: MO 2007030725) |
Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: AR stp-000005) |
Enumeration Date | 2007-05-30 |
Last Update Date | 2013-02-05 |