NPI | 1316646318 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 34179) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 191554) |
Enumeration Date | 2023-02-28 |
Last Update Date | 2023-07-28 |