| NPI | 1134827017 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 27068) |
| Additional Taxonomies | 363LX0106X Nurse Practitioner, Occupational Health (Licence: SC 27068) |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2024-10-31 |