| NPI | 1003436726 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: CA 596225) |
| Additional Taxonomies | 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: CA 596225) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 596225) | |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2024-01-22 |