NPI | 1437557949 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: HI APRN-1834) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: HI APRN-1834) |
363LG0600X Nurse Practitioner, Gerontology (Licence: HI APRN-1834) | |
Enumeration Date | 2014-12-16 |
Last Update Date | 2015-02-09 |