NPI | 1659359834 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 134) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R 140463-4) |
Enumeration Date | 2006-01-06 |
Last Update Date | 2019-05-02 |