NPI | 1457973547 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: TX AP145633) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP145633) |
363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP145633) | |
363LA2100X Nurse Practitioner, Acute Care (Licence: TX 909089) | |
Enumeration Date | 2020-05-11 |
Last Update Date | 2024-01-16 |