| NPI | 1396099909 |
|---|---|
| Former Name | SHINY DANIEL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 603660) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 603660) |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2012-11-05 |