NPI | 1538400973 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO APN.0993822) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 680095) |
367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9270689) | |
Enumeration Date | 2013-03-11 |
Last Update Date | 2024-09-24 |