| NPI | 1215742135 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK 1192391) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: TX 907445) |
| Enumeration Date | 2025-02-10 |
| Last Update Date | 2025-10-19 |