| NPI | 1760818686 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: TX 721438) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: TX 721438) |
| 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: TX 721438) | |
| 163WD1100X Registered Nurse, Dialysis, Peritoneal (Licence: TX 721438) | |
| 163WH0500X Registered Nurse, Hemodialysis (Licence: TX 721438) | |
| 163WN0300X Registered Nurse, Nephrology (Licence: TX 721438) | |
| 163WN0800X Registered Nurse, Neuroscience (Licence: TX 721438) | |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2013-09-24 |