| NPI | 1013142462 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: OK R0069318) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: OK R0069318) |
| 364SN0800X Clinical Nurse Specialist, Neuroscience (Licence: OK R0069318) | |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2025-08-04 |