NPI | 1427776269 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NV 858600) |
Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: NV 858600) |
Enumeration Date | 2022-08-18 |
Last Update Date | 2022-10-25 |