NPI | 1497930432 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 201160021CRNA) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NM R63115) |
367500000X Nurse Anesthetist, Certified Registered (Licence: AZ CRNA0647) | |
Enumeration Date | 2008-01-09 |
Last Update Date | 2011-12-21 |