NPI | 1255044988 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NJ01446600) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR23207700) |
Enumeration Date | 2022-12-27 |
Last Update Date | 2023-04-08 |