NPI | 1245872365 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP144717) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 853917) |
Enumeration Date | 2019-10-09 |
Last Update Date | 2020-02-03 |