| NPI | 1831933845 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA NP95030479) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN95242786) |
| Enumeration Date | 2024-06-24 |
| Last Update Date | 2024-06-24 |