NPI | 1386626323 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NM CRNA-01338) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MS R699683) |
Enumeration Date | 2005-11-16 |
Last Update Date | 2016-09-17 |