NPI | 1134130586 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 1113205) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28055707A) |
367500000X Nurse Anesthetist, Certified Registered (Licence: OH RN245406) | |
Enumeration Date | 2006-08-11 |
Last Update Date | 2008-02-28 |