NPI | 1164771614 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71008935A) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 28250476A) |
163W00000X Registered Nurse (Licence: FL RN9310400) | |
163W00000X Registered Nurse (Licence: NV RN80537) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: CA NP 22695) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: NV APRN001802) | |
163W00000X Registered Nurse (Licence: CA RN 805484) | |
Enumeration Date | 2012-08-30 |
Last Update Date | 2023-04-06 |