NPI | 1477534279 |
---|---|
Professional Name | ED PIASECKI |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A100182) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2001021075) |
363LF0000X Nurse Practitioner, Family (Licence: KS 45213) | |
Enumeration Date | 2005-11-08 |
Last Update Date | 2012-01-30 |