NPI | 1972369080 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: HI RN-40783) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: HI RN-40783) |
Enumeration Date | 2024-02-26 |
Last Update Date | 2024-02-26 |