| NPI | 1437588464 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP2800X Clinical Nurse Specialist, Perioperative (Licence: TX AP132505) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX 696702) |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2023-10-10 |