| NPI | 1841740313 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 26663) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: GA RN280197) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: FL ARNP9339795) | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: WA AP60702843) | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: CA NP95020588) | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MI 4704357915) | |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2024-02-13 |