NPI | 1417920992 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA 08849604482) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: ME RNA223007) |
Enumeration Date | 2006-02-07 |
Last Update Date | 2022-04-19 |