NPI | 1518791607 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: DC RN500014195) |
Additional Taxonomies | 163WC1500X Registered Nurse Community Health (Licence: DC RN500014195) |
Enumeration Date | 2024-08-29 |
Last Update Date | 2024-08-29 |