| NPI | 1487298725 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2019001501) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2019001501) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MO 2019001501) | |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2021-01-20 |