| NPI | 1881910669 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AR R82671) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: AR R82671) |
| 163WE0003X Registered Nurse, Emergency (Licence: AR R82671) | |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2010-04-19 |