NPI | 1780057125 |
---|---|
Former Name | ERAN PRESTON MILLER |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 346450) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2356958) |
363LF0000X Nurse Practitioner, Family (Licence: TX AP129531) | |
363LF0000X Nurse Practitioner, Family (Licence: NH 084639-23) | |
Enumeration Date | 2015-11-06 |
Last Update Date | 2024-01-08 |