NPI | 1972368595 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: ID 75604) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: ID 75604) |
Enumeration Date | 2024-02-14 |
Last Update Date | 2024-05-22 |