NPI | 1679111355 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 163WI0500X Registered Nurse, Infusion Therapy (Licence: CA 729080) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 729080) |
Enumeration Date | 2019-12-13 |
Last Update Date | 2019-12-13 |