NPI | 1548517519 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NJ00396400) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN603677) |
227900000X Respiratory Therapist, Registered (Licence: NJ 43ZA00452100) | |
163W00000X Registered Nurse (Licence: NJ 26NR12577100) | |
Enumeration Date | 2012-08-09 |
Last Update Date | 2015-02-24 |