| NPI | 1912323494 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MO 2001032271) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 810874) |
| 163W00000X Registered Nurse (Licence: FL RN9361246) | |
| 163W00000X Registered Nurse (Licence: GA RN206492) | |
| 163W00000X Registered Nurse (Licence: IL 041264614) | |
| 163W00000X Registered Nurse (Licence: IN 28185526A) | |
| 163W00000X Registered Nurse (Licence: NJ 26NR16371700) | |
| 163W00000X Registered Nurse (Licence: PA RN625914) | |
| Enumeration Date | 2014-03-09 |
| Last Update Date | 2014-03-09 |