NPI | 1831226331 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: SC 195) |
Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: SC APN 195) |
Enumeration Date | 2007-02-28 |
Last Update Date | 2025-07-14 |