| NPI | 1003290685 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MN 3895) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 3895) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 3895) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 3895) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MN 3895) | |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2023-06-26 |