NPI | 1255768982 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R196328-5) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 196328-5) |
Enumeration Date | 2013-09-26 |
Last Update Date | 2024-01-30 |