NPI | 1326540873 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: TX 931013) |
Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 157150) |
Enumeration Date | 2018-03-01 |
Last Update Date | 2018-03-01 |