NPI | 1659434710 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28178299A) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN168455) |
367500000X Nurse Anesthetist, Certified Registered (Licence: GA 168455) | |
Enumeration Date | 2006-12-19 |
Last Update Date | 2018-06-27 |