| NPI | 1295071629 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: IN 71002876A) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: IN 71002876A) |
| 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: IN 71002876A) | |
| Enumeration Date | 2012-12-12 |
| Last Update Date | 2024-03-27 |