NPI | 1437305786 |
---|---|
Other Name | FRANK L. RUSSO |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5004156) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F331109) |
Enumeration Date | 2008-08-18 |
Last Update Date | 2013-07-24 |