| NPI | 1578347761 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN212934) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11028181) |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2023-08-21 |