| NPI | 1710227848 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA AP08258) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R866996) |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2020-08-24 |