| NPI | 1093454480 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1081259) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 963914) |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2022-06-03 |