| NPI | 1932863784 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC0400X Registered Nurse Case Management (Licence: MA RN2281239) |
| Additional Taxonomies | 163WA2000X Registered Nurse Administrator (Licence: MA RN2281239) |
| 163WC1600X Registered Nurse Continuing Education/Staff Development (Licence: MA RN2281239) | |
| 163WH0200X Registered Nurse Home Health (Licence: MA RN2281239) | |
| Enumeration Date | 2021-10-27 |
| Last Update Date | 2021-10-27 |