| NPI | 1801673520 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71014394A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28220903A) |
| Enumeration Date | 2023-09-14 |
| Last Update Date | 2026-07-22 |