| 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 |