NPI | 1316018906 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SD R46303) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 101370) |
367500000X Nurse Anesthetist, Certified Registered (Licence: ND R24007) | |
Enumeration Date | 2006-11-13 |
Last Update Date | 2023-12-28 |