NPI | 1578187431 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 6378) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 269177) |
Enumeration Date | 2020-06-05 |
Last Update Date | 2020-07-08 |