NPI | 1447784699 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 21013) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 209751) |
Enumeration Date | 2017-04-14 |
Last Update Date | 2017-05-24 |