NPI | 1487690723 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 2899) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 153388) |
Enumeration Date | 2006-06-22 |
Last Update Date | 2024-07-16 |