NPI | 1487752135 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2013017946) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: AR C01396) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2022-07-21 |