NPI | 1164914206 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 1085885) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 083675-23) |
Enumeration Date | 2018-06-05 |
Last Update Date | 2023-02-20 |