| NPI | 1760004923 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 28992) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5013697) | |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2024-10-10 |