NPI | 1205022555 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71002603A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 26537) |
363L00000X Nurse Practitioner (Licence: WI 8890) | |
363L00000X Nurse Practitioner (Licence: ID 78183) | |
363LF0000X Nurse Practitioner, Family (Licence: VA 0024192011) | |
363LF0000X Nurse Practitioner, Family (Licence: MO 2015002005) | |
Enumeration Date | 2007-09-20 |
Last Update Date | 2025-03-24 |