| 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 |