NPI | 1366709297 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28243275A) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3007328) |
367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024169993) | |
Enumeration Date | 2012-04-17 |
Last Update Date | 2023-11-27 |