| NPI | 1700137064 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: OK 97461) |
| Additional Taxonomies | 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: OK R0097461) |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2021-07-08 |