NPI | 1396581526 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 36728) |
Enumeration Date | 2024-07-08 |
Last Update Date | 2024-07-25 |