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 |