NPI | 1255307948 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN RN099906) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN09934) |
367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN155701) | |
Enumeration Date | 2006-02-23 |
Last Update Date | 2008-07-08 |