| NPI | 1740925106 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM 67929) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NM 67929) |
| Enumeration Date | 2022-04-30 |
| Last Update Date | 2024-02-09 |