NPI | 1518651850 |
---|---|
Former Name | JOHN REY LUCAS PASCUA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-166942) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: AL 1-166942) |
Enumeration Date | 2023-06-08 |
Last Update Date | 2023-11-09 |