NPI | 1538244926 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 3233) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 180631) |
367500000X Nurse Anesthetist, Certified Registered (Licence: TX 052003) | |
Enumeration Date | 2006-10-26 |
Last Update Date | 2023-02-01 |