NPI | 1265412704 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 54694) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OK R0096002) |
Enumeration Date | 2006-01-19 |
Last Update Date | 2024-07-10 |