| NPI | 1275126872 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: WI 193054-30) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CA 95155096) |
| Enumeration Date | 2021-02-15 |
| Last Update Date | 2021-02-15 |