| NPI | 1295568509 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0200X Registered Nurse Critical Care Medicine (Licence: KS 13-74692-081) |
| Additional Taxonomies | 163WP2201X Registered Nurse Ambulatory Care (Licence: KS 13-74692-081) |
| Enumeration Date | 2024-08-22 |
| Last Update Date | 2024-08-22 |