NPI | 1275521593 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 8945) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN RN0000044208) |
Enumeration Date | 2005-10-11 |
Last Update Date | 2008-04-16 |