NPI | 1396315057 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ID 76301) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NC 325603) |
Enumeration Date | 2021-06-25 |
Last Update Date | 2023-09-09 |