NPI | 1326286220 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9412584) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 27329) |
367500000X Nurse Anesthetist, Certified Registered (Licence: IA D120456) | |
367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2010027852) | |
Enumeration Date | 2009-01-30 |
Last Update Date | 2023-05-08 |