| NPI | 1093182859 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA NP95012277) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95070046) |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: CA 95012277) | |
| 363L00000X Nurse Practitioner (Licence: CA 95012277) | |
| 364S00000X Clinical Nurse Specialist (Licence: CA 4768) | |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2023-08-06 |