NPI | 1740354596 |
---|---|
Other Name | TOM RODRIGUEZ |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: TX 548373) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 548373) |
364SG0600X Clinical Nurse Specialist, Gerontology (Licence: TX 548373) | |
Enumeration Date | 2006-11-20 |
Last Update Date | 2024-10-03 |