NPI | 1588362594 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 145270) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL 145270) |
Enumeration Date | 2023-02-20 |
Last Update Date | 2023-02-20 |