| NPI | 1144508904 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704253005) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704253005) |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2024-01-09 |