NPI | 1538828942 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 914684) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 158759) |
367500000X Nurse Anesthetist, Certified Registered (Licence: AK 136495) | |
Enumeration Date | 2021-12-13 |
Last Update Date | 2024-10-16 |