| NPI | 1801294558 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN290140) |
| Additional Taxonomies | 163WC0400X Registered Nurse Case Management (Licence: OH RN290140) |
| 163WE0003X Registered Nurse Emergency (Licence: OH RN290140) | |
| 163WG0000X Registered Nurse General Practice (Licence: OH RN290140) | |
| 163WH0200X Registered Nurse Home Health (Licence: OH RN290140) | |
| 163WI0500X Registered Nurse Infusion Therapy (Licence: OH RN290140) | |
| 163WM0705X Registered Nurse Medical-Surgical (Licence: OH RN290140) | |
| 163WW0000X Registered Nurse Wound Care (Licence: OH RN290140) | |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2014-12-11 |