NPI | 1538584842 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 637) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R177450-0) |
Enumeration Date | 2014-02-24 |
Last Update Date | 2020-10-01 |