NPI | 1467877977 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 0044) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R 180076-2) |
Enumeration Date | 2014-02-20 |
Last Update Date | 2017-10-27 |