NPI | 1144217647 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR C000368) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R018657) |
Enumeration Date | 2005-09-30 |
Last Update Date | 2015-06-16 |