NPI | 1710922653 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP30006244) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: ID N-32474) |
Enumeration Date | 2006-06-17 |
Last Update Date | 2014-03-06 |