NPI | 1689952582 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN9282576) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 877258) |
163W00000X Registered Nurse (Licence: TX 714348) | |
367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704406335) | |
367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP120606) | |
Enumeration Date | 2011-07-26 |
Last Update Date | 2024-08-23 |