NPI | 1619618600 |
---|---|
Other Name | JOSE ANTONIO TAVARES DOS ANJOS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2304675) |
Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: MA RT10198) |
Enumeration Date | 2022-04-05 |
Last Update Date | 2022-04-05 |