NPI | 1568798973 |
---|---|
Other Name | GREGORY OURADA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MT 101579) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: HI APRN 1256) |
Enumeration Date | 2009-10-20 |
Last Update Date | 2016-02-15 |