NPI | 1497073472 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2471V0105X Radiologic Technologist, Vascular Sonography (Licence: MD 00069902) |
Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: MD R131048) |
163WI0500X Registered Nurse, Infusion Therapy (Licence: DC RN66423) | |
163WP0000X Registered Nurse, Pain Management (Licence: MD R131048) | |
163WP0000X Registered Nurse, Pain Management (Licence: DC RN66423) | |
Enumeration Date | 2010-05-14 |
Last Update Date | 2010-05-14 |