| NPI | 1447494893 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: IN 71003452A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28191810A) |
| 363L00000X Nurse Practitioner (Licence: AR SO2234) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71003452A) | |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2023-11-13 |