| NPI | 1346127065 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RN334940) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: GA RN334940) |
| 163WW0000X Registered Nurse, Wound Care (Licence: GA RN334940) | |
| 163WX0800X Registered Nurse, Orthopedic (Licence: GA RN334940) | |
| 163WX1500X Registered Nurse, Ostomy Care (Licence: GA RN334940) | |
| 146M00000X Emergency Medical Technician, Intermediate (Licence: GA I043820) | |
| 156F00000X Technician/Technologist | |
| 163WN0800X Registered Nurse, Neuroscience (Licence: GA RN334940) | |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: GA RN334940) | |
| Enumeration Date | 2025-08-18 |
| Last Update Date | 2025-08-18 |