NPI | 1467990481 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 101402) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 72128) |
Enumeration Date | 2017-02-09 |
Last Update Date | 2017-05-03 |