NPI | 1427226695 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC APN3448) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 74549) |
Enumeration Date | 2008-02-11 |
Last Update Date | 2011-06-13 |