| NPI | 1447942370 |
|---|---|
| Former Name | JESSE LANG |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1109042) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 6888047-4405) |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2025-09-11 |