| NPI | 1952952160 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1000053) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 883554) |
| Enumeration Date | 2019-09-28 |
| Last Update Date | 2023-08-29 |