NPI | 1184377228 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209024607) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: IL 209.024607) |
Enumeration Date | 2022-01-29 |
Last Update Date | 2023-02-13 |