| NPI | 1801943865 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: IN 71009526A) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: IN 28159760A) |
| 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: IL 041229107) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2019-10-27 |