| NPI | 1598215584 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: MA RN258365) |
| Additional Taxonomies | 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: MA RN258365) |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2016-10-13 |