| NPI | 1215263710 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5004539) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 199596) |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2009-10-19 |