| NPI | 1285919985 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: GA RN194592) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA 194592) |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2025-12-30 |