| NPI | 1366686537 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201050208NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 200441166RN) |
| Enumeration Date | 2009-05-01 |
| Last Update Date | 2013-07-01 |