| NPI | 1952237182 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OK 228161) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: OK 228161) |
| 363L00000X Nurse Practitioner (Licence: OK 228161) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OK 228161) | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: OK 228161) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OK 228161) | |
| Enumeration Date | 2026-06-24 |
| Last Update Date | 2026-06-24 |