NPI | 1902057599 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 163WE0003X Registered Nurse Emergency (Licence: MD R156408) |
Additional Taxonomies | 163WF0300X Registered Nurse Flight (Licence: MD R156408) |
Enumeration Date | 2008-10-01 |
Last Update Date | 2008-10-01 |