NPI | 1144527961 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP3259922) |
Additional Taxonomies | 364SC0200X Clinical Nurse Specialist, Critical Care Medicine (Licence: FL ARNP3259922) |
Enumeration Date | 2011-02-14 |
Last Update Date | 2016-03-17 |