| NPI | 1528603982 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: AL 1-137790) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-137790) |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2024-02-01 |