| NPI | 1174402374 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: AZ 232841) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 232841) |
| Enumeration Date | 2025-09-01 |
| Last Update Date | 2025-09-01 |