NPI | 1154347086 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA 017992) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA RN626905) |
367500000X Nurse Anesthetist, Certified Registered (Licence: LA AP02415) | |
Enumeration Date | 2006-07-14 |
Last Update Date | 2007-07-08 |