NPI | 1538766993 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 248805) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN190324) |
207L00000X Anesthesiology (Licence: AZ 248805) | |
Enumeration Date | 2020-10-07 |
Last Update Date | 2020-10-21 |