NPI | 1255517181 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO C-APN.0003556-C-CRNA) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 077961) |
367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA1227) | |
Enumeration Date | 2008-01-10 |
Last Update Date | 2023-01-19 |