| NPI | 1538929948 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SC0200X Clinical Nurse Specialist, Critical Care Medicine (Licence: ID 75765) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: ID 75765) |
| Enumeration Date | 2024-03-21 |
| Last Update Date | 2024-03-21 |