| NPI | 1801685227 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: NV 838679) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NV 838679) |
| Enumeration Date | 2025-05-02 |
| Last Update Date | 2025-05-05 |