| NPI | 1841820099 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: NM 68193) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 276667) |
| 163W00000X Registered Nurse (Licence: CA 95191512) | |
| 163W00000X Registered Nurse (Licence: NM 68193) | |
| 364S00000X Clinical Nurse Specialist (Licence: NM 68193) | |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2024-03-19 |