| NPI | 1124412598 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ00559500) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00559500) |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2025-11-26 |