| NPI | 1801282561 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60784891) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60784891) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2020-12-11 |