NPI | 1639794324 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MS ABRA-OKEEM6) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL RN9309082) |
Enumeration Date | 2020-06-09 |
Last Update Date | 2020-06-29 |