NPI | 1295131233 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP127275) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 798584) |
Enumeration Date | 2014-11-18 |
Last Update Date | 2022-10-17 |