| NPI | 1275613424 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MT 225940) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: HI RN-73940) |
| 163WE0003X Registered Nurse, Emergency (Licence: HI RN-73940) | |
| 363L00000X Nurse Practitioner (Licence: PA SPOO8067) | |
| 363L00000X Nurse Practitioner (Licence: HI APRN-1571) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: HI APRN-1571) | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: HI APRN-1571) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2024-06-27 |