NPI | 1568438547 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN11360) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN RN136019) |
Enumeration Date | 2006-02-28 |
Last Update Date | 2009-01-30 |