| NPI | 1174387724 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: FL ARNP11031228) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11031228) |
| Enumeration Date | 2024-02-13 |
| Last Update Date | 2024-04-15 |