| NPI | 1538304068 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: MD 081004) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: MD 0809003) |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2008-12-12 |