NPI | 1043798598 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA NA95001122) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA 124698) |
Enumeration Date | 2018-08-06 |
Last Update Date | 2023-08-01 |