NPI | 1336416338 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 201043114RN) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 775795) |
Enumeration Date | 2011-11-19 |
Last Update Date | 2011-11-19 |