| NPI | 1396441218 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: IA 114836) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: IA 114836) |
| Enumeration Date | 2023-02-02 |
| Last Update Date | 2023-02-02 |