| NPI | 1184470866 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15112300) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR21072900) |
| Enumeration Date | 2024-04-24 |
| Last Update Date | 2024-09-20 |