NPI | 1447351630 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 786896) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MS R855173) |
Enumeration Date | 2006-09-26 |
Last Update Date | 2022-09-19 |