| NPI | 1780563114 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: MI 4704267931) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: MI 4704267931) |
| 163WH1000X Registered Nurse, Hospice (Licence: MI 4704267931) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2025-08-29 |
| Last Update Date | 2025-08-29 |