| NPI | 1821726050 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: WA RN60565273) |
| Additional Taxonomies | 163WN0800X Registered Nurse, Neuroscience (Licence: WA RN60565273) |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2022-08-15 |