NPI | 1144242868 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN566961) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD AC000108) |
Enumeration Date | 2006-07-24 |
Last Update Date | 2024-02-20 |