NPI | 1922342161 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: NH 088805-23) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: TN 17219) |
Enumeration Date | 2012-11-10 |
Last Update Date | 2022-09-21 |