| NPI | 1336825660 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11027125) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11027125) |
| Enumeration Date | 2023-06-22 |
| Last Update Date | 2025-03-26 |