NPI | 1992199061 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: DE L1-0035690) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0035690) |
Enumeration Date | 2015-03-26 |
Last Update Date | 2015-03-26 |