| NPI | 1962179143 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 926312) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: TX 215130) |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2021-08-25 |