| NPI | 1033975230 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: OH RN.465245) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL APRN11033925) |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2024-07-13 |