| NPI | 1811770621 |
|---|---|
| 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: NC 319976) |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2023-08-15 |