| NPI | 1306633094 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: AL 1-181634) |
| Additional Taxonomies | 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: AL 1-181634) |
| 163W00000X Registered Nurse (Licence: AL 1-181634) | |
| Enumeration Date | 2025-04-24 |
| Last Update Date | 2025-04-24 |