| NPI | 1043088446 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC0200X Registered Nurse Critical Care Medicine (Licence: PR 03882) |
| Additional Taxonomies | 163WN0800X Registered Nurse Neuroscience (Licence: PR 03882) |
| Enumeration Date | 2023-12-14 |
| Last Update Date | 2023-12-15 |