NPI | 1649222837 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 727861) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 2815838) |
Enumeration Date | 2006-05-16 |
Last Update Date | 2014-04-15 |