NPI | 1508824905 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28181433A) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 103360) |
Enumeration Date | 2006-05-03 |
Last Update Date | 2015-07-21 |