| NPI | 1053616300 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 111217) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 53226) |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2011-02-10 |