| NPI | 1871487165 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NY 819385) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: GA RN335463) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2025-06-03 |
| Last Update Date | 2025-06-03 |