| NPI | 1497217673 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: AZ RN085626) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN085626) |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2019-07-26 |