NPI | 1497177836 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR C003003) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R076995) |
Enumeration Date | 2014-01-18 |
Last Update Date | 2023-08-21 |