NPI | 1285689521 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO APN.0005108-CRNA) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: ME R046483) |
Enumeration Date | 2006-05-24 |
Last Update Date | 2024-10-16 |