NPI | 1275375271 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OK 218482) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK R0119982) |
Enumeration Date | 2024-06-10 |
Last Update Date | 2024-06-18 |