NPI | 1497642730 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR 124649) |
Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: AR 124649) |
Enumeration Date | 2025-06-19 |
Last Update Date | 2025-08-06 |