NPI | 1194463273 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN695448) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 136969) |
Enumeration Date | 2022-05-26 |
Last Update Date | 2022-08-08 |