NPI | 1083688998 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 0135) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 137990-5) |
Enumeration Date | 2006-02-15 |
Last Update Date | 2020-10-02 |