NPI | 1831672724 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA NP95009782) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 833834) |
Enumeration Date | 2018-09-07 |
Last Update Date | 2019-09-24 |