| NPI | 1295715183 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP3110882) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP3110882) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: FL ARNP3110882) | |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2014-02-12 |