NPI | 1730532854 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 364SX0200X Clinical Nurse Specialist, Oncology (Licence: FL APRN9310186) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9310186) |
Enumeration Date | 2016-07-14 |
Last Update Date | 2023-01-11 |