NPI | 1518120997 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: MA 231123) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 231123) |
Enumeration Date | 2008-07-07 |
Last Update Date | 2008-07-07 |