NPI | 1831597756 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95001983) |
Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: CA 837113) |
Enumeration Date | 2014-12-09 |
Last Update Date | 2024-05-01 |