| NPI | 1821631011 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WF0300X Registered Nurse, Flight (Licence: MT NUR-RN-LIC-72439) |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: MT MED-PARA-LIC-31801) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MT NUR-RN-LIC-72439) | |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2019-10-21 |