| NPI | 1043585060 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: FL ARNP9243110) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9243110) |
| Enumeration Date | 2012-03-09 |
| Last Update Date | 2024-05-08 |