NPI | 1639341167 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV APN001037) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN41949) |
Enumeration Date | 2008-03-25 |
Last Update Date | 2009-10-01 |