NPI | 1508601618 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD r236881) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MD r236881) |
Enumeration Date | 2024-06-28 |
Last Update Date | 2025-07-08 |