| NPI | 1982091831 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 20299) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 9302684) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9302684) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 9302684) | |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2022-11-08 |