| NPI | 1508490475 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11006282) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL APRN11006262) |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2021-03-30 |