NPI | 1609978717 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV APN00339) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN28624) |
Enumeration Date | 2006-09-01 |
Last Update Date | 2018-10-02 |