NPI | 1548295348 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP 1479742) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 200460034CRNA) |
Enumeration Date | 2006-07-11 |
Last Update Date | 2011-02-16 |