NPI | 1497757314 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH RN 254416 NA-06872) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN174836 CRNA) |
Enumeration Date | 2005-08-11 |
Last Update Date | 2008-12-29 |