NPI | 1013505569 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO APN.0996247) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1621732) |
Enumeration Date | 2021-01-08 |
Last Update Date | 2021-03-18 |