| NPI | 1629800859 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: ND R39924) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: MN 2270317) |
| Enumeration Date | 2024-08-16 |
| Last Update Date | 2024-08-16 |