| NPI | 1720821846 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SI0800X Clinical Nurse Specialist, Informatics (Licence: TN 181711) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: TN 181711) |
| Enumeration Date | 2024-06-17 |
| Last Update Date | 2024-06-17 |