NPI | 1255866810 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL FLRN9290122) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9290122) |
Enumeration Date | 2017-04-20 |
Last Update Date | 2024-05-08 |