| NPI | 1467313932 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: NY 762921) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: NJ 26NR24234500) |
| Enumeration Date | 2025-11-22 |
| Last Update Date | 2025-11-22 |