NPI | 1427821040 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 2953) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 16004) |
Enumeration Date | 2023-11-06 |
Last Update Date | 2025-01-14 |