| NPI | 1205663069 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: WA RN61080655) |
| Additional Taxonomies | 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: WA RN61080655) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA RN61080655) | |
| Enumeration Date | 2024-09-16 |
| Last Update Date | 2024-09-16 |