NPI | 1265923825 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 078251-23) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN677235) |
367500000X Nurse Anesthetist, Certified Registered (Licence: OR 200840629RN) | |
Enumeration Date | 2018-05-19 |
Last Update Date | 2018-07-16 |