| NPI | 1487178927 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002579) |
| Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: NV RN66219) |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2020-06-17 |