NPI | 1588706352 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA RN033084) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA AP01995) |
Enumeration Date | 2007-02-12 |
Last Update Date | 2007-07-08 |