NPI | 1841937026 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP61496483) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NV 853064) |
Enumeration Date | 2022-05-18 |
Last Update Date | 2023-11-28 |