| NPI | 1467135293 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN04112) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 111539-23) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: CT 167528) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61568990) | |
| Enumeration Date | 2023-08-09 |
| Last Update Date | 2026-01-02 |