| NPI | 1386999845 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WX0200X Registered Nurse, Oncology (Licence: CA 552856) |
| Additional Taxonomies | 364SX0200X Clinical Nurse Specialist, Oncology (Licence: CA 2122) |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2012-07-19 |