| NPI | 1437472958 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NM R37508) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 562388) |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2010-03-11 |