NPI | 1427082015 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 3205) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 157007) |
367500000X Nurse Anesthetist, Certified Registered (Licence: OH NA06830) | |
Enumeration Date | 2006-07-10 |
Last Update Date | 2021-03-30 |