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 |