| NPI | 1720387921 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: IN 28168982A) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: IN 28168982A) |
| 163WE0003X Registered Nurse, Emergency (Licence: IN 28168982A) | |
| 163WX1100X Registered Nurse, Ophthalmic (Licence: IN 28168982A) | |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2011-03-28 |