| NPI | 1447437942 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP2956) |
| Additional Taxonomies | 146D00000X Personal Emergency Response Attendant (Licence: AZ AP2956) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2013-05-30 |