| NPI | 1578749123 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: UT 6817642-1206) |
| Additional Taxonomies | 364SE0003X Clinical Nurse Specialist, Emergency (Licence: UT 6817642-1206) |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2016-03-08 |