| NPI | 1528942307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2289844) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: MA RN2289844) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MA RN2289844) | |
| 163WC1500X Registered Nurse, Community Health (Licence: MA RN2289844) | |
| 163WC0400X Registered Nurse, Case Management (Licence: MA RN2289844) | |
| 163WE0003X Registered Nurse, Emergency (Licence: MA RN2289844) | |
| 163WC3500X Registered Nurse, Cardiac Rehabilitation (Licence: MA RN2289844) | |
| 163WH0200X Registered Nurse, Home Health (Licence: MA RN2289844) | |
| 163WH1000X Registered Nurse, Hospice (Licence: MA RN2289844) | |
| 163WN1003X Registered Nurse, Nutrition Support (Licence: MA RN2289844) | |
| 163WP0000X Registered Nurse, Pain Management (Licence: MA RN2289844) | |
| 163WX0800X Registered Nurse, Orthopedic (Licence: MA RN2289844) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MA RN2289844) | |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MA RN2289844) | |
| 163WW0000X Registered Nurse, Wound Care (Licence: MA RN2289844) | |
| Enumeration Date | 2025-08-04 |
| Last Update Date | 2025-08-04 |