| NPI | 1538268065 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP1699) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: AZ RN073883) |
| 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: AZ 095824) | |
| 174400000X Specialist (Licence: AZ 047414) | |
| 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: AZ 0038) | |
| 364SP2800X Clinical Nurse Specialist, Perioperative (Licence: AZ AP6070) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2024-07-29 |