NPI | 1093946683 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR C002775) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R077947) |
Enumeration Date | 2009-07-31 |
Last Update Date | 2020-03-27 |