NPI | 1043848245 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NJ01035600) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 12.014577) |
Enumeration Date | 2020-04-01 |
Last Update Date | 2025-08-03 |