| NPI | 1801515770 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP70006038) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61340156) |
| Enumeration Date | 2022-08-24 |
| Last Update Date | 2025-06-20 |