NPI | 1962877944 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: TN RN0000109271) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TN RN0000109271) |
163WG0000X Registered Nurse, General Practice (Licence: TN RN0000109271) | |
163WG0100X Registered Nurse, Gastroenterology (Licence: TN RN0000109271) | |
Enumeration Date | 2015-12-02 |
Last Update Date | 2015-12-02 |