| NPI | 1598429300 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: AZ RN198338) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: AL 1-138207) |
| Enumeration Date | 2021-10-27 |
| Last Update Date | 2021-10-27 |