NPI | 1750966537 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: WA RN60786152) |
Enumeration Date | 2021-03-14 |
Last Update Date | 2021-03-14 |