NPI | 1427783141 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA RN95267723) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95267723) |
Enumeration Date | 2022-07-18 |
Last Update Date | 2022-07-18 |