| NPI | 1548060403 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NV 851983) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: AK 231571) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: OK 200848) | |
| Enumeration Date | 2025-03-18 |
| Last Update Date | 2025-03-18 |