NPI | 1073292835 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209028814) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 041443067) |
Enumeration Date | 2023-07-17 |
Last Update Date | 2024-01-16 |