NPI | 1578327888 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: CA 5110) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95181782) |
163WM0705X Registered Nurse, Medical-Surgical (Licence: CA 95181782) | |
163WX0200X Registered Nurse, Oncology (Licence: CA 95181782) | |
364SA2200X Clinical Nurse Specialist, Adult Health (Licence: CA 5110) | |
364SG0600X Clinical Nurse Specialist, Gerontology (Licence: CA 5110) | |
Enumeration Date | 2024-02-07 |
Last Update Date | 2024-02-07 |