| NPI | 1306213681 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: NV RN31552) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: NV RN31552) |
| 1744R1102X Specialist, Research Study (Licence: NV RN31552) | |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2016-06-01 |