NPI | 1447797899 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP132884) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 240766) |
367500000X Nurse Anesthetist, Certified Registered (Licence: CO APN.0999722.CRNA) | |
Enumeration Date | 2017-01-24 |
Last Update Date | 2025-04-24 |