NPI | 1649274291 |
---|---|
Other Name | ARCHIE TAICH |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP2951862) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM R44069) |
Enumeration Date | 2005-06-10 |
Last Update Date | 2013-07-02 |