| NPI | 1548150055 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL RN9448545) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CA 95403913) |
| Enumeration Date | 2025-07-07 |
| Last Update Date | 2025-07-07 |