| NPI | 1053936781 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SN0800X Clinical Nurse Specialist Neuroscience (Licence: NC 501) |
| Additional Taxonomies | 364SC0200X Clinical Nurse Specialist Critical Care Medicine (Licence: NC 501) |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2020-06-09 |