NPI | 1689292088 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-148447) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-148447) |
Enumeration Date | 2020-07-12 |
Last Update Date | 2020-08-27 |