| NPI | 1477811941 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0990381-NP) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: CO APN.0990381-NP) |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2024-10-03 |