NPI | 1336137595 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: OH F09200497) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35-054353) |
Enumeration Date | 2005-10-12 |
Last Update Date | 2022-11-10 |