NPI | 1194752204 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: DE L6-0A00004) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: DE L60A00004) |
Enumeration Date | 2006-06-26 |
Last Update Date | 2016-04-14 |