NPI | 1235241860 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 8421) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TN 8421) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2024-10-23 |