NPI | 1669409033 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9193090) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 674130) |
367500000X Nurse Anesthetist, Certified Registered (Licence: NM CRNA-01274) | |
367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95000027) | |
367500000X Nurse Anesthetist, Certified Registered (Licence: TX 847033) | |
Enumeration Date | 2006-06-28 |
Last Update Date | 2016-08-03 |