| NPI | 1437405180 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: LA AP07022) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN113095) |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2012-07-31 |