| NPI | 1841936945 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse Home Health (Licence: MT 127710) |
| Additional Taxonomies | 163WA2000X Registered Nurse Administrator (Licence: MT 127710) |
| 163WC0400X Registered Nurse Case Management (Licence: MT 127710) | |
| 163WH1000X Registered Nurse Hospice (Licence: MT 127710) | |
| 163WI0500X Registered Nurse Infusion Therapy (Licence: MT 127710) | |
| 163WN1003X Registered Nurse Nutrition Support (Licence: MT 127710) | |
| 163WP0000X Registered Nurse Pain Management (Licence: MT 127710) | |
| 163WW0000X Registered Nurse Wound Care (Licence: MT 127710) | |
| 163WX0200X Registered Nurse Oncology (Licence: MT 127710) | |
| 163WX1500X Registered Nurse Ostomy Care (Licence: MT 127710) | |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2022-05-11 |