| NPI | 1982322988 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 206342) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA 206342) |
| Enumeration Date | 2022-08-16 |
| Last Update Date | 2024-03-07 |