NPI | 1609272665 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 830919) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CO 1629622) |
163WC0200X Registered Nurse, Critical Care Medicine (Licence: KS 13-113736-012) | |
163WC0200X Registered Nurse, Critical Care Medicine (Licence: MA RN2292709) | |
163WC0200X Registered Nurse, Critical Care Medicine (Licence: WA RN60379787) | |
Enumeration Date | 2014-11-18 |
Last Update Date | 2014-11-18 |