| NPI | 1326781774 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: FL APRN11011913) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: FL APRN11011913) |
| 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: FL APRN11011913) | |
| Enumeration Date | 2022-04-14 |
| Last Update Date | 2022-04-14 |