NPI | 1457113318 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN727899) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R234267) |
Enumeration Date | 2024-01-26 |
Last Update Date | 2024-07-03 |