NPI | 1497941959 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R149207) |
Additional Taxonomies | 174400000X Specialist (Licence: MD R149207) |
Enumeration Date | 2007-09-19 |
Last Update Date | 2015-03-03 |