NPI | 1548213408 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP30007745) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00172906) |
Enumeration Date | 2006-05-19 |
Last Update Date | 2010-04-11 |