| 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 |