| NPI | 1437041670 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VT 026.0154884PROV) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: VT 026.0154884PROV) |
| 163WI0500X Registered Nurse, Infusion Therapy (Licence: VT 026.0154884PROV) | |
| 163WW0000X Registered Nurse, Wound Care (Licence: VT 026.0154884PROV) | |
| Enumeration Date | 2025-07-21 |
| Last Update Date | 2025-07-21 |