| NPI | 1033316229 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: AK NUR R 27684) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: OR 083039824RN) |
| 163WF0300X Registered Nurse, Flight (Licence: AK 27684) | |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2013-07-11 |