NPI | 1528484888 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95000121) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 748907) |
Enumeration Date | 2014-03-11 |
Last Update Date | 2024-09-24 |