| NPI | 1427422724 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL ARNP9310119) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9310119) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 9310119) | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: FL ARNP9310119) | |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2017-09-01 |