NPI | 1386523199 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: CA 95086685) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 95086685) |
Enumeration Date | 2025-08-27 |
Last Update Date | 2025-08-27 |