NPI | 1346375334 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP30000142) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA RN00049232) |
Enumeration Date | 2007-02-22 |
Last Update Date | 2007-07-31 |