| NPI | 1225909328 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: AZ 229004) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: CA 95238575) |
| 163WE0003X Registered Nurse, Emergency (Licence: IL 041525383) | |
| Enumeration Date | 2025-09-13 |
| Last Update Date | 2025-09-13 |