| NPI | 1437081965 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WN0300X Registered Nurse, Nephrology (Licence: NC 332895) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 332895) |
| 163WH0500X Registered Nurse, Hemodialysis (Licence: NC 332895) | |
| Enumeration Date | 2026-06-01 |
| Last Update Date | 2026-06-11 |