| NPI | 1154840080 |
|---|---|
| Former Name | THOMAS JOSEPH SHLUGER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP018206) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN668435) |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2017-11-30 |