| NPI | 1649580721 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: AK 1191) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 25715) |
| 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: AK 1191) | |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: AK 1191) | |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2016-07-07 |