| NPI | 1548143845 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CO 1643404) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: AK 192693) |
| Enumeration Date | 2025-07-26 |
| Last Update Date | 2025-07-26 |