| NPI | 1538182282 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: NY 339739) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: NM 339739) |
| 163WC1500X Registered Nurse, Community Health (Licence: NY 339739) | |
| 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: NY 339739) | |
| 163WG0000X Registered Nurse, General Practice (Licence: NY 339739) | |
| 163WI0600X Registered Nurse, Infection Control (Licence: NY 339739) | |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: NY 339739) | |
| 163WP2201X Registered Nurse, Ambulatory Care (Licence: NY 339739) | |
| 163WU0100X Registered Nurse, Urology (Licence: NY 339739) | |
| 163WX0106X Registered Nurse, Occupational Health (Licence: NY 339739) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 339739) | |
| 163WW0000X Registered Nurse, Wound Care (Licence: NY 339739) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2011-08-09 |