| NPI | 1871914481 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: NJ 26NJ00480400) |
| Additional Taxonomies | 364SC0200X Clinical Nurse Specialist, Critical Care Medicine (Licence: NJ 26NJ00480400) |
| Enumeration Date | 2013-12-27 |
| Last Update Date | 2013-12-27 |