NPI | 1710498670 |
---|---|
Other Name | ED ROSIC |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3011521) |
Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: KY 3011521) |
Enumeration Date | 2017-10-18 |
Last Update Date | 2022-06-09 |