| NPI | 1336843820 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: NM 59945) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: NM 59945) |
| 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: NM 59945) | |
| Enumeration Date | 2023-03-28 |
| Last Update Date | 2023-03-28 |