| NPI | 1053185942 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704363196) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704363196NSA230UV) |
| Enumeration Date | 2023-11-10 |
| Last Update Date | 2025-02-14 |