NPI | 1427022540 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 073433) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN105171) |
Enumeration Date | 2006-02-15 |
Last Update Date | 2011-11-01 |