NPI | 1982211785 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 246957) |
163W00000X Registered Nurse (Licence: PR 099694) | |
163W00000X Registered Nurse (Licence: CA 95042984) | |
Enumeration Date | 2020-09-25 |
Last Update Date | 2023-09-22 |