| NPI | 1851167308 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SA2100X Clinical Nurse Specialist Acute Care (Licence: CA 5092) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist Adult Health (Licence: CA 5092) |
| 364SC0200X Clinical Nurse Specialist Critical Care Medicine (Licence: CA 5092) | |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2023-11-28 |