NPI | 1033196266 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP112934) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 652282) |
Enumeration Date | 2005-12-29 |
Last Update Date | 2022-07-15 |