| NPI | 1801615166 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WI0500X Registered Nurse, Infusion Therapy (Licence: PR 86847) |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: PR 86340) |
| Enumeration Date | 2024-10-04 |
| Last Update Date | 2024-10-04 |