NPI | 1598251498 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: CA 95009210) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61493227) |
Enumeration Date | 2018-07-03 |
Last Update Date | 2023-10-20 |