NPI | 1477056281 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 21973) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 217780) |
367500000X Nurse Anesthetist, Certified Registered (Licence: SC 1477056281) | |
Enumeration Date | 2018-03-18 |
Last Update Date | 2023-04-20 |