| NPI | 1972738201 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R182032) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: MD R182032) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MD R182032) | |
| 163WC0400X Registered Nurse, Case Management (Licence: MD R182032) | |
| 163WC1500X Registered Nurse, Community Health (Licence: MD R182032) | |
| 163WH0200X Registered Nurse, Home Health (Licence: MD R182032) | |
| 163WI0500X Registered Nurse, Infusion Therapy (Licence: MD R182032) | |
| 163WN0800X Registered Nurse, Neuroscience (Licence: MD R182032) | |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: MD R182032) | |
| 163WP0000X Registered Nurse, Pain Management (Licence: MD R182032) | |
| 163WR0400X Registered Nurse, Rehabilitation (Licence: MD R182032) | |
| 163WX0800X Registered Nurse, Orthopedic (Licence: MD R182032) | |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2024-01-04 |