| NPI | 1750613980 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA MM2292186) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP010707) |
| Enumeration Date | 2010-02-15 |
| Last Update Date | 2020-11-18 |