NPI | 1134913601 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: IN 28268952A) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71016620A) |
Enumeration Date | 2025-04-08 |
Last Update Date | 2025-08-05 |