| NPI | 1073149522 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SC0200X Clinical Nurse Specialist, Critical Care Medicine (Licence: CA 4696) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: PA RN590317) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CA 725631) | |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TX 800475) | |
| Enumeration Date | 2020-03-17 |
| Last Update Date | 2023-04-06 |