| NPI | 1497673883 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: AZ RN188290) |
| Additional Taxonomies | 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: AZ RN188290) |
| Enumeration Date | 2026-07-06 |
| Last Update Date | 2026-07-06 |