NPI | 1609837962 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 163WG0600X Registered Nurse, Gerontology (Licence: OH RN 278713) |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: OH RN 278713) |
Enumeration Date | 2006-03-28 |
Last Update Date | 2007-07-09 |