NPI | 1447263660 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209000253) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 041243558) |
Enumeration Date | 2006-08-15 |
Last Update Date | 2024-03-13 |