NPI | 1689811200 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: GA GAA-CNS001441) |
Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: TX 733869) |
Enumeration Date | 2009-01-20 |
Last Update Date | 2023-06-15 |