NPI | 1497053326 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA CRNA086311) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP60209353) |
367500000X Nurse Anesthetist, Certified Registered (Licence: WA RN00157929) | |
Enumeration Date | 2011-03-01 |
Last Update Date | 2024-11-15 |