| NPI | 1588594337 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WD1100X Registered Nurse, Dialysis, Peritoneal (Licence: WI 249861-30) |
| Additional Taxonomies | 163WH0500X Registered Nurse, Hemodialysis (Licence: WI 249861-30) |
| 163WN0300X Registered Nurse, Nephrology (Licence: WI 249861-30) | |
| Enumeration Date | 2026-05-22 |
| Last Update Date | 2026-05-22 |