NPI | 1326889734 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5020457) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NC 291241) |
Enumeration Date | 2024-06-03 |
Last Update Date | 2024-07-23 |