| NPI | 1376267674 |
|---|---|
| Other Name | JOE PATRICK GORHAM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 202214982NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 202212803RN) |
| 163W00000X Registered Nurse (Licence: PA RN668398) | |
| Enumeration Date | 2022-09-29 |
| Last Update Date | 2022-10-14 |