NPI | 1073557369 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209000418) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 041182916) |
Enumeration Date | 2006-06-16 |
Last Update Date | 2010-08-03 |