| NPI | 1356653307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: NM RN-71344) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM 71344) |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2023-04-06 |