NPI | 1366439176 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11013552) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 201403006CRNA) |
367500000X Nurse Anesthetist, Certified Registered (Licence: CA 664195) | |
367500000X Nurse Anesthetist, Certified Registered (Licence: OR 201907877CRNA-PP) | |
Enumeration Date | 2005-10-06 |
Last Update Date | 2022-12-27 |