| NPI | 1487087367 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R166940) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: MD R166940) |
| 163WC0400X Registered Nurse, Case Management (Licence: MD R166940) | |
| 163WC1400X Registered Nurse, College Health (Licence: MD R166940) | |
| 163WC1500X Registered Nurse, Community Health (Licence: MD R166940) | |
| 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: MD R166940) | |
| 163WC3500X Registered Nurse, Cardiac Rehabilitation (Licence: MD R166940) | |
| 163WD0400X Registered Nurse, Diabetes Educator (Licence: MD R166940) | |
| 163WG0000X Registered Nurse, General Practice (Licence: MD R166940) | |
| 163WI0600X Registered Nurse, Infection Control (Licence: MD R166940) | |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: MD R166940) | |
| 163WN1003X Registered Nurse, Nutrition Support (Licence: MD R166940) | |
| 163WW0000X Registered Nurse, Wound Care (Licence: MD R166940) | |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2013-08-15 |