| NPI | 1891086401 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 367018) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY 367018) |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2011-04-29 |