| NPI | 1518200336 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI R 193997-6) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MI R 193997-6) |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2013-03-29 |