NPI | 1699247395 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MD R187175) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R187175) |
Enumeration Date | 2018-12-19 |
Last Update Date | 2018-12-19 |