NPI | 1467081000 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR 122653) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2020021031) |
363LF0000X Nurse Practitioner, Family (Licence: WY 53075) | |
363LF0000X Nurse Practitioner, Family (Licence: NE 115034) | |
363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0101204-C-NP) | |
Enumeration Date | 2020-04-06 |
Last Update Date | 2024-03-27 |