| NPI | 1437043973 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AR 237680) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: AR R101082) |
| Enumeration Date | 2025-06-09 |
| Last Update Date | 2026-08-13 |