NPI | 1033538566 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 19354) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 169381) |
Enumeration Date | 2014-04-13 |
Last Update Date | 2022-03-03 |