| NPI | 1235602301 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP140068) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP140068) |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2024-08-08 |