| NPI | 1144644394 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: AZ 122954) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: AZ 122954) |
| 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: OH 272425) | |
| 163WG0000X Registered Nurse, General Practice (Licence: OH 272425) | |
| Enumeration Date | 2014-02-08 |
| Last Update Date | 2022-11-02 |