NPI | 1215340732 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 21390) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28238845A) |
Enumeration Date | 2014-06-03 |
Last Update Date | 2022-07-21 |