NPI | 1700248002 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ID 53510) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID N39889) |
Enumeration Date | 2016-03-25 |
Last Update Date | 2016-06-23 |