| NPI | 1639923915 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: FL RN9213651) |
| Additional Taxonomies | 163WC3500X Registered Nurse, Cardiac Rehabilitation (Licence: FL RN9213651) |
| 163WD1100X Registered Nurse, Dialysis, Peritoneal (Licence: FL RN9213651) | |
| 171M00000X Case Manager/Care Coordinator (Licence: FL RN9213651) | |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2024-04-15 |