| 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 |