NPI | 1508519166 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 163WH0200X Registered Nurse Home Health (Licence: DE L1-0069261) |
Additional Taxonomies | 163WC1500X Registered Nurse Community Health (Licence: DE L1-0069261) |
Enumeration Date | 2022-02-02 |
Last Update Date | 2022-02-02 |