| NPI | 1437982824 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: HI 113438) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 268575) |
| 163W00000X Registered Nurse (Licence: IN 28168656A) | |
| Enumeration Date | 2024-08-22 |
| Last Update Date | 2024-08-22 |