NPI | 1346805769 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: MI 4704327050NSA190BM) |
Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: MI 4704327050NSA190BM) |
363L00000X Nurse Practitioner (Licence: MI 4704327050NSA190BM) | |
363LA2200X Nurse Practitioner Adult Health (Licence: MI 4704327050NSA190BM) | |
363LC0200X Nurse Practitioner Critical Care Medicine (Licence: MI 4704327050NSA190BM) | |
363LG0600X Nurse Practitioner Gerontology (Licence: MI 4704327050NSA190BM) | |
363LX0106X Nurse Practitioner Occupational Health (Licence: MI 4704327050NSA190BM) | |
Enumeration Date | 2019-05-01 |
Last Update Date | 2020-01-06 |