NPI | 1467177618 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: GA GAA-NP00157) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: AZ 313157) |
Enumeration Date | 2022-10-10 |
Last Update Date | 2025-06-19 |