NPI | 1275863714 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP 9329559) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209.007970) |
367500000X Nurse Anesthetist, Certified Registered (Licence: WI 148864-30) | |
Enumeration Date | 2010-01-06 |
Last Update Date | 2011-10-21 |