| NPI | 1275613960 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP2800X Clinical Nurse Specialist, Perioperative (Licence: AZ RN 085383) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: AZ RN 085383) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2019-01-23 |