| NPI | 1487172052 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: MN 374) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 191470-0) |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2020-08-13 |