NPI | 1245828227 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61129229) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP61129229) |
Enumeration Date | 2021-01-06 |
Last Update Date | 2023-04-03 |