NPI | 1699301036 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: LA RN152099) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN152099) |
Enumeration Date | 2020-03-17 |
Last Update Date | 2023-08-02 |