NPI | 1598943284 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 746683) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX 746683) |
Enumeration Date | 2008-02-05 |
Last Update Date | 2024-07-22 |