NPI | 1033351168 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R162397) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R162397) |
Enumeration Date | 2009-04-06 |
Last Update Date | 2009-10-29 |