| NPI | 1356835797 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0500X Registered Nurse, Hemodialysis (Licence: GA RN235141) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN235141) |
| 163WD1100X Registered Nurse, Dialysis, Peritoneal (Licence: GA RN235141) | |
| 163WI0500X Registered Nurse, Infusion Therapy (Licence: GA RN235141) | |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2018-06-19 |