| NPI | 1710439914 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001160306) |
| Additional Taxonomies | 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: VA 0001160306) |
| 163WE0003X Registered Nurse, Emergency (Licence: VA 0001160306) | |
| 163WF0300X Registered Nurse, Flight (Licence: VA 0001160306) | |
| 163WG0000X Registered Nurse, General Practice (Licence: VA 0001160306) | |
| 163WM0102X Registered Nurse, Maternal Newborn (Licence: VA 0001160306) | |
| 163WP1700X Registered Nurse, Perinatal (Licence: VA 0001160306) | |
| 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: VA 0001160306) | |
| 163WX0002X Registered Nurse, Obstetric, High-Risk (Licence: VA 0001160306) | |
| 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: VA 0001160306) | |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2016-11-04 |