| NPI | 1952757254 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: AR 218161) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: OK 92961) |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2023-07-16 |