NPI | 1225433758 |
---|---|
Other Name | JAN BERNAL TRINIDAD |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9285575) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL RN9285575) |
Enumeration Date | 2014-10-27 |
Last Update Date | 2017-03-23 |