| NPI | 1003442708 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SC0200X Clinical Nurse Specialist, Critical Care Medicine (Licence: CA 423608) |
| Additional Taxonomies | 364SN0800X Clinical Nurse Specialist, Neuroscience (Licence: CA 423608) |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2020-03-13 |