NPI | 1750279691 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: DE LP-0010917) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R244850) |
363L00000X Nurse Practitioner (Licence: DE LP-0010917) | |
Enumeration Date | 2025-06-27 |
Last Update Date | 2025-10-01 |