NPI | 1982046025 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WH0200X Registered Nurse Home Health (Licence: PR 35403 G) |
Additional Taxonomies | 163WC0400X Registered Nurse Case Management (Licence: PR 35403 G) |
163WC3500X Registered Nurse Cardiac Rehabilitation (Licence: PR 35403 G) | |
163WI0500X Registered Nurse Infusion Therapy (Licence: PR 35403 G) | |
163WW0000X Registered Nurse Wound Care (Licence: PR 35403 G) | |
Enumeration Date | 2013-07-17 |
Last Update Date | 2013-07-17 |