| NPI | 1235975103 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CA 95361849) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: HI 119174) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL RN9469599) | |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: DC RN500007382) | |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: OR 202206725RN) | |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MA RN10006083) | |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NY 937687) | |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2024-07-01 |