NPI | 1184693574 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP2948472) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 146302) |
Enumeration Date | 2006-03-16 |
Last Update Date | 2010-07-15 |