NPI | 1043958614 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 26304) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 137143) |
Enumeration Date | 2022-05-24 |
Last Update Date | 2022-08-09 |