| NPI | 1326559980 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0012290) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: DE L1-0046933) |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2023-02-10 |