NPI | 1396892329 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 233) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 072142) |
Enumeration Date | 2007-01-04 |
Last Update Date | 2023-02-17 |