NPI | 1275781965 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP134722) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH RN304471) |
Enumeration Date | 2008-09-05 |
Last Update Date | 2018-06-01 |