| NPI | 1740163922 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: NM RN-90590) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NM RN-90590) |
| 163WF0300X Registered Nurse, Flight (Licence: NM RN-90590) | |
| Enumeration Date | 2025-07-28 |
| Last Update Date | 2025-07-28 |