NPI | 1265416838 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA0144) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ RN088572) |
Enumeration Date | 2005-12-06 |
Last Update Date | 2023-12-22 |