| NPI | 1619372729 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: CO RN.0130221) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CO RN.0130221) |
| 163WF0300X Registered Nurse, Flight (Licence: CO RN.0130221) | |
| 163WP2201X Registered Nurse, Ambulatory Care (Licence: CO RN.0130221) | |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2014-10-31 |