| NPI | 1669950739 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ 262620) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MN 9094) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024175465) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209024920) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: LA 229596) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: DE LP-0010452) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5017761) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 202109086NP-PP) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95007049) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP024740) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: HI APRN-3812) | |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2023-10-24 |