NPI | 1992832976 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 990384) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CO 38809) |
Enumeration Date | 2007-02-27 |
Last Update Date | 2021-06-24 |