NPI | 1891189627 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: CA 622945) |
Additional Taxonomies | 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: CA 4195) |
Enumeration Date | 2015-03-18 |
Last Update Date | 2015-03-18 |