NPI | 1811027055 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 201050041NP) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NJ 26NR11867300) |
363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00142100) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60120714) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9261574) | |
Enumeration Date | 2007-03-06 |
Last Update Date | 2013-10-21 |