NPI | 1457245219 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: TX 1180460) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: CA 95298195) |
Enumeration Date | 2025-06-05 |
Last Update Date | 2025-06-05 |