NPI | 1043288541 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MS R875676) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28162301a) |
Enumeration Date | 2006-03-09 |
Last Update Date | 2019-09-05 |