NPI | 1659347656 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP2854442) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: RI APRN00968) |
Enumeration Date | 2006-02-28 |
Last Update Date | 2024-10-09 |