NPI | 1144478793 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ND R55428) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 8489503) |
Enumeration Date | 2008-09-08 |
Last Update Date | 2024-09-13 |