| 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 |