NPI | 1801675475 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: PA RN746731) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NH 073721-21) |
Enumeration Date | 2023-09-25 |
Last Update Date | 2023-09-25 |