| NPI | 1588121198 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP60956975) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60344185) |
| Enumeration Date | 2019-03-01 |
| Last Update Date | 2019-04-24 |