| NPI | 1407181936 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH1000X Registered Nurse, Hospice (Licence: FL RN9162385) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: FL EMT300311) |
| 163WA2000X Registered Nurse, Administrator (Licence: FL RN9162385) | |
| 183700000X Pharmacy Technician (Licence: FL RPT35994) | |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2015-10-16 |