NPI | 1528446432 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA AP08347) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA RN099108) |
Enumeration Date | 2015-05-12 |
Last Update Date | 2023-01-06 |