NPI | 1043382682 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA RN587101) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 3349) |
Enumeration Date | 2006-11-15 |
Last Update Date | 2024-09-09 |