| NPI | 1881692101 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL RN2728322) |
| Additional Taxonomies | 163WN0800X Registered Nurse, Neuroscience (Licence: CA 752752) |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2015-12-04 |