NPI | 1750511283 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WC3500X Registered Nurse, Cardiac Rehabilitation (Licence: NC 218184) |
Additional Taxonomies | 163WC3500X Registered Nurse, Cardiac Rehabilitation (Licence: OR 200941206RN) |
Enumeration Date | 2009-07-17 |
Last Update Date | 2009-07-17 |