| NPI | 1669644993 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: WI 198661-30) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: MI 4704423873) |
| 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: FL 2560202) | |
| 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: CA RN95231143) | |
| 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: IL 258819) | |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2025-01-07 |