| NPI | 1427469568 |
|---|---|
| Former Name | JIPSON JOSEPH PILLAVEETTIL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 825513) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.354286) |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2014-05-12 |