| NPI | 1982981965 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.193622) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: OH RN.193622) |
| 163WG0600X Registered Nurse Gerontology (Licence: OH RN.193622) | |
| 163WM0705X Registered Nurse Medical-Surgical (Licence: OH RN.193622) | |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2011-11-04 |