NPI | 1326345067 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA0748) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 128484) |
Enumeration Date | 2011-02-15 |
Last Update Date | 2014-12-16 |