NPI | 1326511395 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11000864) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL RN9275537) |
207L00000X Anesthesiology (Licence: OK 0131254) | |
163W00000X Registered Nurse (Licence: FL RN9275537) | |
363L00000X Nurse Practitioner (Licence: FL RN9275537) | |
Enumeration Date | 2019-01-02 |
Last Update Date | 2024-03-04 |