| NPI | 1215598081 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9402062) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9402062) |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2021-11-10 |