NPI | 1679360069 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: DE LM-0010203) |
Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: DE L1-0075402) |
Enumeration Date | 2025-04-21 |
Last Update Date | 2025-08-18 |