NPI | 1649388372 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN0000010706) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000084386) |
367500000X Nurse Anesthetist, Certified Registered (Licence: TN 045081) | |
Enumeration Date | 2006-08-25 |
Last Update Date | 2012-06-25 |