| NPI | 1598019499 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WE0003X Registered Nurse Emergency (Licence: NV RN38717) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN38717) |
| 163WC0200X Registered Nurse Critical Care Medicine (Licence: NV RN38717) | |
| Enumeration Date | 2012-10-31 |
| Last Update Date | 2012-10-31 |