NPI | 1538637863 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 124308) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 264172) |
Enumeration Date | 2018-11-05 |
Last Update Date | 2019-01-02 |