NPI | 1366994881 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: PA SP015866) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP015866) |
364SA2200X Clinical Nurse Specialist, Adult Health (Licence: PA SP015866) | |
Enumeration Date | 2016-11-01 |
Last Update Date | 2022-04-20 |