NPI | 1457908808 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC APN.27185-APRN) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CA 95107925) |
367500000X Nurse Anesthetist, Certified Registered (Licence: CA NA95001704) | |
Enumeration Date | 2019-08-21 |
Last Update Date | 2024-04-30 |