| NPI | 1801362710 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: MO 2018036567) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: MO 2018036567) |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2022-09-15 |