| NPI | 1134569551 |
|---|---|
| Professional Name | DAVID BOURG |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP07365) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: LA AP07365) |
| Enumeration Date | 2013-06-29 |
| Last Update Date | 2020-12-21 |