NPI | 1194882134 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NJ00203200) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NO07454000) |
Enumeration Date | 2007-01-02 |
Last Update Date | 2023-09-19 |