NPI | 1306623467 |
---|---|
Former Name | ADAM HARRISON GESCHICKTER |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: RI APRN03827) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: RI APRN03827) |
Enumeration Date | 2023-09-12 |
Last Update Date | 2023-11-13 |