NPI | 1508679564 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WI0500X Registered Nurse, Infusion Therapy (Licence: NY 732998) |
Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: CT 158627) |
Enumeration Date | 2025-01-31 |
Last Update Date | 2025-01-31 |