NPI | 1386658953 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA RN034661) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA AP02011) |
Enumeration Date | 2006-07-28 |
Last Update Date | 2015-01-06 |