| NPI | 1992713671 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NV APN000660) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV APN000660) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NV APN000660) | |
| 363L00000X Nurse Practitioner (Licence: CA NP4183) | |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2022-11-02 |