NPI | 1477385664 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95387982) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60363350) |
Enumeration Date | 2024-08-15 |
Last Update Date | 2024-08-15 |