| NPI | 1497405229 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 274555) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ RN203345) |
| Enumeration Date | 2022-03-25 |
| Last Update Date | 2023-02-07 |