NPI | 1255341665 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024174764) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NM R50671) |
Enumeration Date | 2006-08-08 |
Last Update Date | 2022-07-21 |