NPI | 1346288800 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024164968) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0001176758) |
Enumeration Date | 2006-06-04 |
Last Update Date | 2024-05-16 |