NPI | 1679263271 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NV 839439) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NV 839439) |
363LA2200X Nurse Practitioner, Adult Health (Licence: NV 839439) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: NV 839439) | |
Enumeration Date | 2023-05-09 |
Last Update Date | 2023-08-21 |