NPI | 1295304749 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA RN2349432) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: RI RN68367) |
Enumeration Date | 2021-06-20 |
Last Update Date | 2024-06-19 |