| NPI | 1427794312 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SC0200X Clinical Nurse Specialist, Critical Care Medicine (Licence: PA CNS000351) |
| Additional Taxonomies | 364SC0200X Clinical Nurse Specialist, Critical Care Medicine (Licence: DE LV-0010142) |
| 363L00000X Nurse Practitioner (Licence: PA SP033947) | |
| Enumeration Date | 2022-05-12 |
| Last Update Date | 2025-10-20 |