NPI | 1689814154 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 038058) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 099935) |
Enumeration Date | 2009-02-24 |
Last Update Date | 2009-02-24 |