NPI | 1295735736 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 031034-23-11) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 131481) |
367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704111518) | |
367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN-319529L) | |
367500000X Nurse Anesthetist, Certified Registered (Licence: NC 181303) | |
367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN157295) | |
Enumeration Date | 2005-07-27 |
Last Update Date | 2015-10-20 |