| NPI | 1932906252 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: NY 976517) |
| Additional Taxonomies | 163WP0218X Registered Nurse, Pediatric Oncology (Licence: NY 976517) |
| Enumeration Date | 2025-02-25 |
| Last Update Date | 2025-02-25 |