NPI | 1164195384 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO APN.0998850-CRNA) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CT 167862) |
Enumeration Date | 2021-07-26 |
Last Update Date | 2023-07-13 |