NPI | 1275593840 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 101471) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA 098195) |
Enumeration Date | 2006-03-27 |
Last Update Date | 2022-09-14 |