NPI | 1629186119 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO SRA-25006) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D098459) |
367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2025027563) | |
367500000X Nurse Anesthetist, Certified Registered (Licence: SD R029252) | |
Enumeration Date | 2006-08-26 |
Last Update Date | 2025-09-11 |