NPI | 1396247763 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 6576) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R232070) |
Enumeration Date | 2018-03-01 |
Last Update Date | 2024-07-12 |