| NPI | 1851841977 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: TN 178475) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: TN 178475) |
| 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: TN 178475) | |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2022-05-05 |