NPI | 1225721582 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: DE L6-0A10942) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 790485) |
Enumeration Date | 2023-06-01 |
Last Update Date | 2024-03-15 |