NPI | 1114150851 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL RN2924842) |
Additional Taxonomies | 163WF0300X Registered Nurse, Flight (Licence: FL RN2924842) |
Enumeration Date | 2009-08-28 |
Last Update Date | 2009-08-28 |