NPI | 1871228585 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 163WI0500X Registered Nurse, Infusion Therapy (Licence: FL 9538797) |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: FL 9538797) |
Enumeration Date | 2022-07-18 |
Last Update Date | 2022-07-18 |