NPI | 1730959354 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: UT 7782242-4405) |
Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: UT 7782242-3102) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2024-01-04 |
Last Update Date | 2024-03-19 |