NPI | 1699652545 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: IN 71016996A) |
Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: IN 28222590A) |
Enumeration Date | 2025-08-20 |
Last Update Date | 2025-09-02 |