NPI | 1477592525 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP113714) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 672594) |
Enumeration Date | 2006-06-05 |
Last Update Date | 2024-03-27 |