NPI | 1366332967 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: NE 98121) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 98121) |
Enumeration Date | 2025-07-07 |
Last Update Date | 2025-07-07 |