NPI | 1023726106 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71013375A) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: IN 28225726A) |
363L00000X Nurse Practitioner (Licence: IN 71013375A) | |
Enumeration Date | 2022-11-08 |
Last Update Date | 2023-03-07 |