NPI | 1033589445 |
---|---|
Former Name | ROBERT CHRISTOPHER ERIGO-BACKSMAN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 10016527) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9258522) |
363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9258522) | |
363LF0000X Nurse Practitioner, Family (Licence: FL APRN9258522) | |
Enumeration Date | 2015-09-28 |
Last Update Date | 2023-11-20 |