NPI | 1245800580 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA RN258560) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN258560) |
Enumeration Date | 2021-06-29 |
Last Update Date | 2025-01-28 |