NPI | 1437285475 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209004528) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28285318A) |
Enumeration Date | 2007-02-26 |
Last Update Date | 2023-11-27 |