NPI | 1598137598 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL RN9569381) |
Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: FL RN9569381) |
225200000X Physical Therapy Assistant (Licence: FL PTA26238) | |
146L00000X Emergency Medical Technician, Paramedic (Licence: FL PMD541591) | |
2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: FL RN9569381) | |
Enumeration Date | 2015-10-29 |
Last Update Date | 2025-06-17 |