NPI | 1427087808 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA AP04494) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA RN086369) |
Enumeration Date | 2006-06-30 |
Last Update Date | 2022-11-10 |