| NPI | 1881491306 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: CA 821227) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: CA 821227) |
| 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: CA 821227) | |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: CA 821227) | |
| Enumeration Date | 2025-03-03 |
| Last Update Date | 2025-03-03 |