NPI | 1376656058 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP30007252) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00162688) |
Enumeration Date | 2006-08-16 |
Last Update Date | 2009-10-22 |