NPI | 1356508246 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WE0900X Registered Nurse, Enterostomal Therapy (Licence: MO 136779) |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MO 136779) |
163WW0000X Registered Nurse, Wound Care (Licence: MO 136779) | |
163WX1500X Registered Nurse, Ostomy Care (Licence: MO 136779) | |
Enumeration Date | 2008-05-19 |
Last Update Date | 2008-05-19 |