NPI | 1194166389 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA AP07448) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA RN118955) |
Enumeration Date | 2013-07-16 |
Last Update Date | 2013-07-16 |