| NPI | 1396587077 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: CA 735801) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CA 735801) |
| 163WH1000X Registered Nurse, Hospice (Licence: CA 735801) | |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2024-06-12 |