NPI | 1992044259 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ RN159319) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 618762) |
163W00000X Registered Nurse (Licence: CA 688164) | |
163W00000X Registered Nurse (Licence: IL 041287209) | |
Enumeration Date | 2013-02-06 |
Last Update Date | 2013-02-06 |