| NPI | 1649827882 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95012520) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95012520) |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2022-08-03 |