NPI | 1821327750 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN 1023442) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC R 203859) |
163W00000X Registered Nurse (Licence: AK 29242) | |
Enumeration Date | 2009-12-24 |
Last Update Date | 2009-12-24 |