| NPI | 1609502657 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WS0121X Registered Nurse, Plastic Surgery (Licence: CA 95101575) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9565726) |
| 163WA2000X Registered Nurse, Administrator (Licence: NV RN97140) | |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CA 95101575) | |
| 163W00000X Registered Nurse (Licence: NY 789307) | |
| 163W00000X Registered Nurse (Licence: WA 61028225) | |
| 163W00000X Registered Nurse (Licence: MA 2340696) | |
| 163WA2000X Registered Nurse, Administrator (Licence: CA 95101575) | |
| 163WE0003X Registered Nurse, Emergency (Licence: CA 95101575) | |
| 207N00000X Dermatology (Licence: CA 95101575) | |
| 207N00000X Dermatology (Licence: NV RN97140) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 9565726) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL 9565726) | |
| Enumeration Date | 2022-07-30 |
| Last Update Date | 2024-02-28 |