| NPI | 1447949714 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041.440517) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: IL 041.440517) |
| 163WE0003X Registered Nurse, Emergency (Licence: IL 041.440517) | |
| Enumeration Date | 2023-05-03 |
| Last Update Date | 2023-05-03 |