| NPI | 1245473578 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WX0106X Registered Nurse, Occupational Health (Licence: AL 1-113335) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: AL 1-113335) |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2009-04-16 |