| NPI | 1518333939 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0500X Registered Nurse, Hemodialysis (Licence: CA 553300) |
| Additional Taxonomies | 163WD1100X Registered Nurse, Dialysis, Peritoneal (Licence: CA 553300) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-08-19 |