| NPI | 1861019564 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95018432) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95137162) |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2022-01-13 |