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 |