| NPI | 1255951216 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: MN 71) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MN 095570) |
| 364SC0200X Clinical Nurse Specialist, Critical Care Medicine (Licence: MN 71) | |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2020-04-20 |