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 |