NPI | 1699496232 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP61358400) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60291585) |
Enumeration Date | 2022-09-12 |
Last Update Date | 2022-09-19 |