NPI | 1033188990 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN542206) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 538854-1) |
Enumeration Date | 2006-03-14 |
Last Update Date | 2011-06-22 |