| NPI | 1992333207 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NV 813118) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MD R208892) |
| 163WF0300X Registered Nurse, Flight (Licence: NV 813118) | |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2020-03-31 |