| NPI | 1700830882 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: ID OC-0435) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: WA OP60816242) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: CO CDR.0002122) | |
| 364SC0200X Clinical Nurse Specialist, Critical Care Medicine (Licence: CO CDR.0002122) | |
| Enumeration Date | 2006-05-21 |
| Last Update Date | 2024-03-05 |