| NPI | 1629670575 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN61312632) |
| Additional Taxonomies | 171R00000X Interpreter (Licence: WA MC55042) |
| Enumeration Date | 2020-11-14 |
| Last Update Date | 2025-05-03 |