NPI | 1265826226 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 364SC1501X Clinical Nurse Specialist, Community Health/Public Health (Licence: IN 71005395A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005395A) |
Enumeration Date | 2015-03-26 |
Last Update Date | 2015-07-30 |