| NPI | 1881642387 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WI0600X Registered Nurse, Infection Control (Licence: TX 617661) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: TX 617661) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2024-11-07 |