NPI | 1285106658 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD 122027) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: DE L6-0A10871) |
Enumeration Date | 2018-12-26 |
Last Update Date | 2024-02-07 |