NPI | 1316176183 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209007733) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 041.311371) |
Enumeration Date | 2009-07-14 |
Last Update Date | 2023-12-21 |