| NPI | 1750275244 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WN0800X Registered Nurse, Neuroscience (Licence: NH 111443-21) |
| Additional Taxonomies | 163WX0601X Registered Nurse, Otorhinolaryngology & Head-Neck (Licence: NH 111443-21) |
| Enumeration Date | 2025-06-07 |
| Last Update Date | 2025-06-07 |