NPI | 1205028768 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 3967-33) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 160332) |
Enumeration Date | 2007-08-17 |
Last Update Date | 2024-04-16 |