NPI | 1821558883 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: NV 821347) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NV OT-2230) |
Enumeration Date | 2019-03-24 |
Last Update Date | 2024-03-06 |