| NPI | 1841484193 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SC0200X Clinical Nurse Specialist, Critical Care Medicine (Licence: OK 73621) |
| Additional Taxonomies | 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: OK 73621) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2015-05-01 |