NPI | 1508083015 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: ND R29443) |
Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: ND R29443) |
163WX0106X Registered Nurse, Occupational Health (Licence: ND R29443) | |
Enumeration Date | 2007-04-19 |
Last Update Date | 2007-07-08 |