NPI | 1568428282 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024189437) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VT 101.0138058) |
367500000X Nurse Anesthetist, Certified Registered (Licence: AZ 261692) | |
367500000X Nurse Anesthetist, Certified Registered (Licence: NC 070192) | |
Enumeration Date | 2006-04-21 |
Last Update Date | 2025-08-18 |