NPI | 1245567577 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR C002802) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R069166) |
Enumeration Date | 2009-11-06 |
Last Update Date | 2015-06-16 |