| NPI | 1750110268 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NJ 26NR26163600) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: NJ 26NR26163600) |
| 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: NJ 26NR26163600) | |
| 163WI0500X Registered Nurse, Infusion Therapy (Licence: NJ 26NR26163600) | |
| 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: NJ 26NR26163600) | |
| Enumeration Date | 2024-08-01 |
| Last Update Date | 2025-08-19 |