NPI | 1689688749 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA AP04360) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MS R874174) |
Enumeration Date | 2006-07-27 |
Last Update Date | 2009-02-12 |