NPI | 1689948911 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 17720) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 229989) |
Enumeration Date | 2012-03-05 |
Last Update Date | 2023-03-01 |