| NPI | 1427509850 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 827196) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN92824) |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2023-09-26 |