| NPI | 1437669371 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WR0400X Registered Nurse, Rehabilitation (Licence: MA RN2307168) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MA RN2307168) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: MA RN2307168) | |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2017-10-05 |