| NPI | 1740510197 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: GA RN194050) |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: GA 8607) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: GA RN194050) | |
| 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: GA RN194050) | |
| Enumeration Date | 2010-01-07 |
| Last Update Date | 2010-01-07 |