NPI | 1356385082 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NPF10271) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN428808) |
Enumeration Date | 2006-06-15 |
Last Update Date | 2024-11-07 |