| NPI | 1396133237 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9323928) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist Family Health (Licence: FL ARNP9323928) |
| 364SA2100X Clinical Nurse Specialist Acute Care (Licence: FL ARNP9323928) | |
| 364SA2200X Clinical Nurse Specialist Adult Health (Licence: FL ARNP9323928) | |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2021-08-12 |