NPI | 1285161562 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9396750) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN227726) |
Enumeration Date | 2017-05-17 |
Last Update Date | 2023-06-13 |