| NPI | 1841661238 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SE0003X Clinical Nurse Specialist, Emergency (Licence: NJ 26NJ00309600) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NJ 26NR11601000) |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2016-04-01 |