NPI | 1831558196 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95007688) |
Additional Taxonomies | 163WE0900X Registered Nurse, Enterostomal Therapy (Licence: CA RN328206) |
163WX1500X Registered Nurse, Ostomy Care (Licence: CA RN328206) | |
163WH0200X Registered Nurse, Home Health (Licence: CA RN328206) | |
163WP2201X Registered Nurse, Ambulatory Care (Licence: CA RN328206) | |
163WW0000X Registered Nurse, Wound Care (Licence: CA RN328206) | |
363LF0000X Nurse Practitioner, Family (Licence: CA 95007688) | |
163WC0400X Registered Nurse, Case Management (Licence: CA RN328206) | |
163W00000X Registered Nurse (Licence: CA RN328206) | |
163WC2100X Registered Nurse, Continence Care (Licence: CA RN320206) | |
Enumeration Date | 2016-02-15 |
Last Update Date | 2024-09-20 |