| NPI | 1821212226 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: PA RN553951) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: PA RN553951) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2007-07-08 |