NPI | 1497782965 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 3569) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 148253) |
367500000X Nurse Anesthetist, Certified Registered (Licence: TX 045884) | |
Enumeration Date | 2006-06-28 |
Last Update Date | 2023-06-07 |