NPI | 1235474016 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA NA4345) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 4345) |
Enumeration Date | 2012-12-04 |
Last Update Date | 2022-01-03 |