NPI | 1346395761 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA NA3036) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 3036) |
Enumeration Date | 2007-01-24 |
Last Update Date | 2015-11-30 |