| NPI | 1033518733 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: GA RN141078) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: GA RN141078) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: GA RN141078) | |
| 163W00000X Registered Nurse (Licence: GA RN141078) | |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2024-02-11 |