| NPI | 1164233060 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NJ 26NJ15244200) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NJ 26NR18209600) |
| 364SC0200X Clinical Nurse Specialist, Critical Care Medicine (Licence: NJ 26NJ15244200) | |
| Enumeration Date | 2025-01-20 |
| Last Update Date | 2025-12-18 |