NPI | 1376813949 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN0000018740) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 143755) |
367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28217693A) | |
Enumeration Date | 2012-01-12 |
Last Update Date | 2020-09-04 |