NPI | 1134158652 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OK r 0085277) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA RN094116) |
Enumeration Date | 2006-06-30 |
Last Update Date | 2007-07-08 |