NPI | 1447296041 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP114565) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 681564) |
Enumeration Date | 2006-06-21 |
Last Update Date | 2020-06-16 |